The Analyst™ v5.4
Report produced: January 13, 2014
SAMPLE REPORT FOR A REAL PATIENT
ONLY THE NAME HAS BEEN CHANGED

Health Evaluation for John Doe

Age: 55, Reference: 1350531

Your LifeMeter® Reading by The Analyst™: 63

Perfect health    100
LifeMeter®
 
 
 
 
 
«
0
LifeMeter® takes a broad view of your health and condenses it into a single score ranging from 0 to 100, where 100 represents perfect health and 0 represents mortality.  It is a measure of your overall health, and not an indicator of lifespan.

Your health appears to be not too bad overall... but by no means perfect either.  You should consider making changes to your lifestyle and health care choices that will help to slow down or even reverse this deterioration as soon as possible.  In your report you will see the most important issues that we can identify, most of which you should already be aware of, as well as several recommendations that should only be followed under medical supervision.

At your age, a certain decline in health is only to be expected, of course.  However, there are always positive changes and decisions that can be made, so please consider those in order to maintain a reasonably healthy old age.

Full Review by: Dr. Eliza Doolittle, MD

A diagnosis requires confirmation through physical examination, laboratory testing, imaging, or trial-and-error treatment.

Before taking any action based on this report always consult a licensed healthcare professional.

Thank you for taking so much time to explain your situation.  Your documentation of your medical history, current status and medications was just excellent.  Based on that I'm afraid you have a condition called hyperhomocysteinemia.  Thankfully it is one of the easiest conditions to treat.

Homocysteine is a toxic metabolite of normal protein metabolism that builds up in everyone's body every day, but our body has a number of pathways to neutralize this substance.  One of those pathways uses vitamin B12 and folic acid.  People who don't get enough folic acid (like typical meat-eaters who don't eat enough fruits and vegetables) or people who don't get enough B12 (like most vegans) can get elevated levels of homocysteine in the blood, a condition called hyperhomocysteinemia.  High homocysteine levels can cause high blood pressure and coronary artery blockage, and may also be tied to stroke and dementia.

Being a vegan with excellent cholesterol and exercise levels, and an extraordinarily healthy diet (keep eating those greens!), the most fitting explanation of your coronary blockage, especially given your veganism, would be too much homocysteine in the blood.

Homocysteine and B12 levels can be tested (by getting a blood test called a "serum homocysteine" and a urine test called a "urine MMA (methylmalonic acid)" respectively).  But since the treatment has no recorded side-effects and would be beneficial for you in other ways, you may choose to just treat yourself without getting tested.  The treatment is to take a regular and reliable source of vitamin B12.  If you haven't been, I'd suggest taking 2000 micrograms of a sublingual vitamin B12 supplement (letting it dissolve under your tongue) every day for 2 weeks.  This should get your B12 stores back up and knock down your homocysteine back to normal.  Then as a maintenance dose, either 2000 micrograms of vitamin B12 once a week or 100 micrograms once a day.  You can not overdose on this vitamin.

Based on recent studies of vegans, this one intervention may extend your life expectancy as many as four years.

In terms of your other health issues, I agree that you may have an ulcer – especially given your chronic reflux I think it would be a good idea to schedule an endoscopy.

The treatment of your iron deficiency should obviously focus on the primary cause, which sounds like loss of blood through your digestive tract.  In the meantime, though, I encourage you to take 75 milligrams of vitamin C with every lunch and supper (so twice a day with the meals).  Vitamin C enhances the absorption of the form of iron found in plant foods.

If you are deciding to take fish oil capsules, you should try to figure out a way to ensure you take them regularly.  You definitely need a source of omega 3 fatty acids in your diet, which are found in fish oil, but are also found in flax seeds and flax seed oil.  Although not enough research has been done to prove the equivalency of flax oil and fish oil, if for whatever reason you'd rather not take the fish oil, I'd encourage you to take get your omega 3's from flax every day.  The best way to get your flax (better than the oil) is to eat two tablespoons of ground flax seed every day.

Information about vegans and homocysteine and omega 3 Fats can be found at veganhealth.org/articles/omega3.

I'd also suggest you increase your water consumption to 5 cups a day.  Studies on Seventh Day Adventist vegetarians suggest that those who drink that much water a day halve their risk of dying from heart disease and stroke as well.

Thank you for letting us serve you!

Your Health At A Glance

The two graphs below provide a visual summary of your health as well as easy access to the underlying details.  The first graph highlights your main health concerns while the second shows recommendations by The Analyst™.  Both graphs are prioritized and color-coded, with the most important items shown first.

Throughout this report are hyperlinks that allow easy navigation between related topics and our web site.  After following a link within this report, use your browser's "Back" button to return to where you were.  Links to our web site, indicated by "[web]", open in a new browser window or tab.

Conditions Highlighted By The Analyst™

Below is a summary of issues most likely to affect your health, with the most urgent shown first.  Moving down this list, you can either rule out or confirm each issue.  Click the links on the right to view full details lower down in this report.

The gray Probability component of each bar in the graph ranges from 0% (meaning you definitely do not have this issue) to 100% (you definitely have this issue).  The color-coded Concern Level component ranges from 0% (nothing to worry about) to 100% (life-threateningly serious).

0% 100%
 
Probability
Concern level
   
 
 
Increased Risk of Coronary Disease / Heart Attack
 
 
Hypertension (High Blood Pressure)
 
 
Increased Risk of Stroke
 
 
Liver Disease
 
 
Increased Risk of Vitamin B12 Requirement
 
 
Atherosclerosis (confirmed)
 
 
Anemia (confirmed)
 
 
Poor Circulation
 
 
IBS (Irritable Bowel Syndrome) (confirmed)
 
 
Hypothyroidism
 
 
Stress
 
 
Diabetes Type II
 
 
Bacterial Dysbiosis
 
 
Low Male Testosterone Level (confirmed)
 
 
Dehydration
 
 
Mercury Toxicity (Amalgam Illness)
 
 
Gastric/Peptic/Duodenal Ulcers
 
 
Herpes Simplex Type I
 
 
Need For Routine Preventative Health Measures
 
 
Hydrochloric Acid Deficiency
 
 
Liver Function Test Requirement
 
 
Increased Risk of General Detoxification Requirement
 
 
Osteoporosis - Osteopenia
 
 
Hemorrhoids (confirmed)
 
 
Yeast / Candida Infection (confirmed)
 
 
Allergy to Foods (Hidden)
 
 
Autoimmune Tendency
 
 
Increased Risk of Increased Intestinal Permeability / Leaky Gut
 
 
Senile Dementia
 
 
Increased Risk of Iodine Requirement
 
 
Zinc Requirement
 
 
Dyspepsia / Poor Digestion
 
 
EFA (Essential Fatty Acid) Requirement
 
 
Hypoglycemia
 
 
Wise to rule out: Cancer, General
 
 
Wise to rule out: A Potentially Urgent Medical Need
 
 
Wise to rule out: Kidney Disease
 
 
Wise to rule out: Colon Cancer
 
 
Wise to rule out: Congestive Heart Failure
 
 
Wise to rule out: Alzheimer's Disease
 
 
Wise to rule out: Increased Risk of Aneurysm / Rupture

Recommendations Most Likely To Benefit You

Below are suggestions by The Analyst™, with those most likely to be helpful listed first.  A recommendation's Usefulness score is based on the number of issues that it addresses, the seriousness of those issues, the likelihood of those issues, and its effectiveness for each issue.

Less useful Urgent
 
Usefulness
   
 
Aerobic Exercise
 
Continued Plant-Based Nutrition
 
Continued High/Increased Fiber Diet
 
Vitamin C (Ascorbic Acid)
 
Selenium
 
Continued Sugar Avoidance / Reduction
 
Increased Water Consumption
 
Test for Cardiac Risk Factors
 
Alcohol Avoidance
 
Vitamin E
 
Continued Caffeine/Coffee Avoidance
 
Nut and Seed Consumption
 
Anticoagulant / Blood Thinner
 
Continued Aspirin
 
Continued Dairy Products Avoidance
 
Stress Management
 
Continued Increased Fruit/Vegetable Consumption
 
Increased Legume Consumption
 
Vitamin B12 (Cobalamine)
 
Magnesium
 
Diuretics
 
Continued Garlic
 
Continued Low/Decreased Fat Diet
 
Zinc
 
Continued Processed Foods Avoidance
 
Alpha Lipoic Acid
 
Folic Acid
 
Chlorella
 
Vitamin B6 (Pyridoxine)
 
Coconut

Main Health Conditions - Detail

This is the largest section of your report, covering 41 potential health issues in detail, most urgent first.  For each condition you can read:

What do the bullets mean?

1
Blue bullet: A Sign, Symptom or Risk Factor that suggests this condition.  You told us about it in the questionnaire.
2
3
4
5
Other bullet: Predisposing Condition or Risk Factor, color-coded to reflect Level of Concern.  The Analyst™ has identified these.
-1
-2
Negative number: Sign, Symptom, Risk Factor or Condition that reduces the likelihood of this condition.

Instead of reading through this large section of your report, we suggest returning to the graphical summary above and clicking on items of interest there, which will take you to their specific details below.

Increased Risk of Coronary Disease / Heart Attack

Irreversible and unexpected, heart failure is the leading cause of death in Western countries.  For 50% of men who die from heart attacks, the fatal attack is their first symptom.  Coronary artery disease (heart attack, or myocardial infarction) is the number one killer in the United States, yet it barely existed before 1900.  A sampling of older cardiologists still working in the 1950s could not recall a case prior to 1910.  Most people are unaware of this and do not readily believe it.  It is not a highly publicized fact, possibly because it glaringly reminds us of the cause: the way we now live, principally the westernization of diet (the consumption of commercially processed foods).  Some take a position that people were more active then, and we are more sedentary now.  This is true, but should not be used as an excuse to continue eating what we prefer, instead of what we should.

→ Read full details and recommendations
Increased Risk of Coronary Disease / Heart Attack is indicated by what you have told us:
1
African ethnicity

African-Americans have higher rates of diabetes, prostate cancer, hypertension and coronary heart disease than whites.

2
Male pattern hair loss

A Harvard study found that male-pattern baldness may be a marker for increased risk of coronary heart disease.  Severe hair loss on the top of head resulted in a 36% increased risk.  The risk became lower with less hair loss.  [Archives of Internal Medicine, Jan.  24, 2001]

3
Recent onset hypertension

While systolic blood pressure is a better predictor of cardiovascular events than diastolic blood pressure or pulse pressure, all three measures are strongly and directly related to the risk of coronary and cerebrovascular events.  [Archives of Internal Medicine, 2001; 161: pp.1183-92]

4
Shortness of breath when at rest

... and by the following:
5
Confirmed Atherosclerosis
6
Possible Poor Circulation

Not everyone with heart disease gets peripheral vascular disease, and vice versa.  For some reason, the process of atherosclerosis seems to affect different people in different places.  However, if you have one, you are definitely at increased risk for the other.

7
Possible Hypothyroidism

The thyroid affects every organ in the body, including the heart.  Almost any type of heart disease can be worsened by thyroid disorder, so thyroid function should always be checked if cardiac symptoms are worsening.  Hypothyroidism weakens the heart muscle in both its contraction and relaxation phases, resulting in less blood being pumped.  And, because the heart muscle does not relax normally in between beats, a potentially serious condition called diastolic dysfunction may result.

8
Significant Stress

Stress may increase magnesium excretion and the resulting temporary magnesium depletion may make the heart more sensitive to electrical abnormalities and vascular spasm that could lead to cardiac ischemia.

9
Possible Diabetes Type II

Cardiovascular disease is the leading cause of diabetes-related death.  People with diabetes are two to four times more likely to develop cardiovascular disease.  At least 65% of people with diabetes die from heart disease or stroke.

10
Moderate Dehydration
11
Confirmed Angina
12
Moderate Dyspepsia / Poor Digestion
13
Possible Salt Sensitivity

People who experience a jump in blood pressure when they consume salt are at increased risk of dying from heart disease.  Even salt-sensitive individuals with normal blood pressure are at risk, as blood pressure eventually rises.  [Hypertension (supp), Feb.  16, 2001] Hypertension and salt sensitivity are independent risk factors for cardiovascular disease.

14
Erectile Dysfunction (ED, Impotence)

A buildup of plaque in the penile arteries can lead to difficulty achieving or maintaining erection.  A long-running study of over 2,000 men found that erectile dysfunction is associated with a more than threefold higher risk of heart attack.  Lead researcher Dr. Steven J.  Jacobsen, a professor of epidemiology at the Mayo Clinic, reported the findings Nov.  11, 2003 at the American Heart Association's annual conference in Orlando, Florida.  According to Jacobsen, "We can't say that it is cause-and-effect, but erectile dysfunction is a marker for future events of cardiovascular disease." Overall, men with a heart attack from 1979 to 1995 were 3.5 times more likely to have erectile dysfunction in 1996 than men who did not have a heart attack.

15
Possible Lack of Sleep

If you sleep less than six hours per night and have disturbed sleep you stand a 48% greater chance of developing or dying from heart disease.

16
(Less likely) Obstructive Sleep Apnea (OSA)

Obstructive sleep apnea increases a person's risk of having a heart attack or dying by 30% over a period of four to five years, according to a Yale University study presented at the American Thoracic Society 2007 International Conference in May of 2007.  Sleep apnea is associated with many physiological changes that increase the risk of both heart attack and stroke.

17
Small risk of Problems Associated With A Sedentary Lifestyle

According to Dr. Emmanuel Stamatakis of University College London's Department of Epidemiology and Public Health, the risk of heart disease and premature death from any cause increases significantly for those spending more than fours hours a day watching television, surfing the web, or playing computer games.

The study was published in the Journal of the American College of Cardiology in January of 2011 and involved 4,512 adults who were respondents of the 2003 Scottish Health Survey.  It found a 48% increased risk of all-cause mortality and an approximately 125% increase in risk of cardiovascular events among those spending more than four hours a day in front of a screen, and also suggests that even two hours of screen time each day may place someone at greater risk for a cardiac event.  The risk appears to be irrespective of factors such as smoking, hypertension, BMI, social class, and even exercise.

18
(Less likely) Hemochromatosis (Iron overload)

Male carriers of the common hemochromatosis gene mutation are at 2-fold risk of a first heart attack compared with noncarriers.  Some 10% to 20% of the population carry at least one gene for hemochromatosis.  Full-blown hemochromatosis affects about 0.5% and gene carriers usually do not know that they are at increased risk.  They have almost no increase in iron stores over those without the mutation [Circulation: Journal of the American Heart Association September 21, 1999;100].

Giving blood is the best way to lower iron stores, but a more recent study found no protective effect against heart attack among men who donated blood regularly.  [Circulation January 2, 2001]

19
Small risk of Periodontal Disease - Gingivitis

Some studies show that people with gum disease are more likely have heart disease than those with healthy gums.  In 2012, a scientific statement from the American Heart Association supported an association between heart disease and gum disease.

Periodontitis is a serious gum infection that damages the gums and can destroy the jawbone.  It can also lead to an increase in inflammation across the body; overactivity of inflammatory pathways is a strong risk factor for the development of atherosclerotic heart disease and heart attack.


Increased Risk of Coronary Disease / Heart Attack is counter-indicated by the following:
-1
Slowed pulse rate

Heart rate is a stronger predictor of cardiovascular death in the elderly, particularly in men, than traditional risk factors such as diabetes and hypertension.  Elderly men with a resting pulse rate above 80 beats per minute have a significantly higher rate of cardiovascular mortality.  A low heart rate, below 64 beats per minute, is protective against cardiovascular mortality.

-2
High fruit/vegetable consumption
-3
Frequent aspirin use

A November 2012 study published in the New England Journal of Medicine showed a 34% reduction in the risk of death associated with heart attack among patients who used aspirin daily.

Main Condition 1 of 41    Return to Condition Summary ↑

Condition: Hypertension (High Blood Pressure)

Blood pressure is measured with a blood pressure cuff and recorded as two numbers that represent systolic (peak pressure, shown first) and diastolic (base pressure, shown second).  Either or both numbers can be elevated.  When the first number is the only one elevated the condition is called Isolated Systolic Hypertension (ISH); when the lower number is elevated it is called Diastolic Hypertension.

→ Read full details and recommendations
Hypertension (High Blood Pressure) is indicated by what you have told us:
1
High diastolic blood pressure
2
High systolic blood pressure
3
Being in your 60s

Prevalence of isolated systolic hypertension increases with age until at least age 80.  If persons with ISH and diastolic hypertension are considered, over 50% of black and white men and over 60% of women over age 65 have hypertension.

4
Blood pressure-lowering drug use
5
Hypertension in parents

Heredity is a predisposing factor, but the exact mechanism is unclear.  Environmental factors such as dietary sodium, obesity and stress seem to act only in genetically susceptible persons.

6
African ethnicity

Hypertension occurs more often in black adults (32%) than in white (23%) or Mexican American (23%) adults, and morbidity and mortality are greater amongst blacks.

7
Recent onset hypertension

... and by the following:
8
Dry Mouth
9
Possible Lack of Sleep
10
(Less likely) Obstructive Sleep Apnea (OSA)

Hypertension is prevalent in patients with OSA, and it has been shown that treating OSA can modestly lower blood pressure.

OSA and other forms of Sleep-Disordered Breathing can cause temporary elevations in blood pressure as well as lowered blood-oxygen levels; it may also cause elevated blood pressure during daytime and, eventually, sustained high blood pressure.

A study from the University of Wisconsin School of Medicine suggests that sleep apnea is a risk factor for chronic hypertension and heart disease.  [New England Journal of Medicine, May 2000]

11
Dizziness

High blood pressure (usually extremely high) can cause damage to the brain, with associated dizziness.


Hypertension (High Blood Pressure) is counter-indicated by the following:
-1
High fruit/vegetable consumption
Main Condition 2 of 41    Return to Condition Summary ↑

Increased Risk of Stroke

When brain cells are deprived of their blood supply, a stroke occurs.  Without access to vital nutrients and oxygen, brain cells die.  The effects of a stroke can vary widely depending on where it occurs in the brain, the severity of the attack, and the general health of the person.  A minor stroke may not even be noticed, while a major one can cause crippling mental and physical disabilities or even death.

→ Read full details and recommendations
Increased Risk of Stroke is indicated by what you have told us:
1
Stroke in family members
2
Recent onset hypertension
3
African ethnicity

The death rate from stroke in African Americans is almost double that of Caucasians.

4
Being male

The incidence of stroke is around 19% higher for males than for females; for people under age 65, the difference is even greater.

5
Being in your 60s

People over age 65 experience almost three fourths of all strokes.


... and by the following:
6
Probable Hypertension (High Blood Pressure)
7
Possible Diabetes Type II

Cardiovascular disease is the leading cause of diabetes-related death.  People with diabetes are two to four times more likely to develop cardiovascular disease.  At least 65% of people with diabetes die from heart disease or stroke.

8
Dry Mouth
9
Possible EFA (Essential Fatty Acid) Type 3 Requirement

Consuming cold water fish (and probably omega-3 fatty acids) reduced the incidence of stroke in women by 28 percent.  This study demonstrated a reduction in clotting type strokes, without an increase in hemorrhagic strokes.

10
Possible Lack of Sleep

If you sleep less than six hours per night and have disturbed sleep you stand a 15% greater chance of developing or dying from a stroke.

11
(Less likely) Obstructive Sleep Apnea (OSA)

Obstructive sleep apnea (OSA) significantly increases the risk of stroke or death from any cause, and the increase is independent of other risk factors, including hypertension.  [N Engl J Med 2005; 353: pp.2034-2041]

Another study published April of 2010 in the American Journal of Respiratory and Critical Care Medicine followed 5,422 people aged 40+ who had no history of stroke for 9 years.  It was found that even mild OSA led to elevated risk of stroke, and this risk increased with more severe OSA.  Men with moderate to severe OSA had 3 times the stroke risk than men with mild or no OSA.  The risk in women was also increased, but only in cases of severe OSA.

12
Dizziness
13
(Less likely) Hemochromatosis (Iron overload)

According to a study published in Neurology, high iron levels in stroke patients may prompt more severe neurological symptoms and possibly increase brain damage.  Elevations of iron may intensify post-stroke neurological problems such as increased weakness, speech and orientation difficulties, and decreased levels of consciousness.  Stroke patients with high ferritin concentrations may also have larger areas of the brain damaged due to stroke.  High body iron stores may increase free radical production in brain cells, thus prompting stroke progression.


Increased Risk of Stroke is counter-indicated by the following:
-1
Slowed pulse rate

Resting heart rate is a good indicator of cardiovascular health.

-2
High fruit/vegetable consumption
Main Condition 3 of 41    Return to Condition Summary ↑

Condition: Liver Disease

65% likelihood
27% concern level

The liver is responsible for a great number of functions in the body.  Liver disease hampers these processes and can lead to complications ranging in severity from minor to fatal.

→ Read full details and recommendations
Liver Disease is indicated by the following:
1
Possible Hepatitis
2
(Less likely) Cirrhosis of the Liver
Main Condition 4 of 41    Return to Condition Summary ↑

Increased Risk of Vitamin B12 Requirement

84% likelihood
26% concern level
Top recommendations

Your body needs vitamin B12 in order to create healthy red blood cells; it is absorbed through the intestines from a variety of foods.  Because a healthy liver is able to store several years' worth of vitamin B12, signs of deficiency may not be obvious for a long time.

→ Read full details and recommendations
Increased Risk of Vitamin B12 Requirement is indicated by what you have told us:
1
Long-term vegetarian/vegan diet

Some 80% of those who have been vegan for 2 or more years suffer from some degree of B12 deficiency: B12 deficiency is surprisingly common amongst vegetarians.

2
History of B12 deficiency

A urine MMA test is recommended for properly diagnosing B12 deficiency due to the possible lack of sensitivity of serum B12 tests.

3
Vegan diet

Vitamin B12 deficiency is the most common cause of megaloblastic anemia.  Both long-term low dietary consumption and poor absorption are responsible for the final outcome of a B12 deficiency, namely megaloblastic anemia and neurological symptoms.

4
Not supplementing B12

About 25% of all lacto-ovo vegetarians have a functional B12 deficiency, meaning their homocysteine is too high.  The figure is more like 80% for those who have been vegan for 2 or more years.  B12 deficiency is very common among vegetarians.

5
Being in your 60s

As we age we're more vulnerable to developing a B-12 deficiency because older people produce less of a protein known as intrinsic factor, which is essential for proper B-12 absorption.

6
Slight tongue soreness
7
Numb/burning/tingling extremities

If vitamin B12 deficiency becomes pronounced, the nervous system can be affected, causing progressive peripheral neuropathy (tingling of the fingers and toes), muscle weakness, staggering, tenderness in the calves, confusion.

8
Possibly jaundiced skin

Pale skin, often with a lemon tint, can be a sign of B12 deficiency.

9
Shortness of breath when at rest
10
Occasional confusion/disorientation

... and by the following:
11
Possible Hydrochloric Acid Deficiency

Achlorhydria leads to improper absorption of nutrients such as B12.

12
(Less likely) Cirrhosis of the Liver

The liver is the body's main store of vitamin B12.

13
Possible Helicobacter Pylori Infection
14
Possible Gluten Sensitivity / Celiac Disease

Celiac disease can lead to malabsorption of vitamin B12.

15
Possible Weakened Immune System

Impaired white blood cells response can be a sign of B12 deficiency.

16
(Less likely) Crohn's Disease

Crohn's disease can lead to malabsorption of vitamin B12.

17
Poor Memory

Increased Risk of Vitamin B12 Requirement is counter-indicated by the following:
-1
Multiple vitamin use
Main Condition 5 of 41    Return to Condition Summary ↑

Condition: Atherosclerosis (confirmed)

Atherosclerosis (hardening of the arteries) is the most common form of arteriosclerosis, a class of diseases in which the walls of a person's artery become thicker and less elastic through deposits along the arteries that often contain calcium.

→ Read full details and recommendations
Atherosclerosis is indicated by what you have told us:
1
History of atherosclerosis
2
Recent onset hypertension
3
Being highly motivated
4
Heart disease in family members
5
Being male

Men are more likely to suffer from this condition than women.

6
Hydrogenated fat consumption

... and by the following:
7
Probable Hypertension (High Blood Pressure)
8
Significant Stress

Circulation, the journal of the American Heart Association, reports on a study that has correlated the degree of carotid arterial atherosclerosis with exaggerated response to mental stress in men under the age of 55.  Patients whose blood pressure responses to stressful situations were the strongest were found to have significantly more advanced atherosclerosis in the carotid arteries than those whose blood pressure responses were less salient.

Although researchers are careful not to say that stress causes atherosclerosis, the evidence clearly points to cardiovascular reactivity to stress as an atherosclerotic risk factor of the same magnitude as smoking, hypertension, insulin resistance, and elevated cholesterol levels.  The hypothesis is that, "Frequent and prolonged periods of elevated blood pressure during mental stress may promote mechanical injury to the endothelial lining or cause release of hormones that can promote the build up of plaque." [Circulation Vol. 96, No. 11: pp. 3842-3848]

Moscow scientists stated in October, 2000 that they have shown atherosclerotic plaques in blood vessels are formed because of adrenaline, a hormone that releases during stress.

9
Possible Magnesium Requirement

Experimental studies have demonstrated a correlation between magnesium deficiency and atherosclerosis, but without any clear evidence to determine the mechanisms involved.  Magnesium deficiency may affect the atherosclerosis process through several different mechanisms.

10
(Less likely) Lupus, SLE (Systemic Lupus Erythematosus)

Numerous studies have confirmed premature, accelerated atherosclerosis in SLE patients.  Although the exact cause is not known at this point, atherosclerotic heart disease is a common cause of morbidity and death amongst lupus patients.


Atherosclerosis is counter-indicated by the following:
-1
Vegan diet

The vegetarian diet promotes stabilization or possible reversal of the atherogenic process.

-2
High fruit/vegetable consumption
-3
Multiple vitamin use
Main Condition 6 of 41    Return to Condition Summary ↑

Condition: Anemia (confirmed)

100% confirmed
25% concern level
Top recommendations

Anemia is a condition in which the blood doesn't have enough red blood cells to carry adequate oxygen.  There are various types of anemia, but they share many common symptoms such as fatigue.

→ Read full details and recommendations
Main Condition 7 of 41    Return to Condition Summary ↑

Condition: Poor Circulation

76% likelihood
24% concern level
Top recommendations

Good health and an active lifestyle depend on good circulation.  That means a good flow of life-sustaining blood to every part of the body, from deep within organs like the heart and brain all the way out to the fingertips and toes.

→ Read full details and recommendations
Poor Circulation is indicated by what you have told us:
1
Being in your 60s

... and by the following:
2
Probable Hypertension (High Blood Pressure)
3
Possible Diabetes Type II

Up to 50% of all people with leg artery disease have diabetes; for them, controlling both conditions is crucial.  Diabetes increases your risk for leg artery disease fourfold, and accounts for nearly half of all amputations in the U.S.  that aren't related to accidents.

Diabetes makes hardening of the arteries much more dangerous (especially in the feet and toes) through several different mechanisms, and it's still not fully understood which ones matter most.  People with diabetes are prone to nerve damage in the legs and feet, which means they often may overlook minor injuries.  This, combined with poor circulation that slows wound healing, can cause small wounds to develop into more serious infections.  Diabetes also makes people more likely to develop blockages in smaller vessels far from the heart, and those blockages tend to be more widespread and harder to treat.

4
Moderate risk of Peripheral Vascular Disease
Main Condition 8 of 41    Return to Condition Summary ↑

Condition: IBS (Irritable Bowel Syndrome) (confirmed)

Alternative Names: Spastic Colon

Irritable bowel syndrome (IBS) is a common disorder of the intestines affecting perhaps 20% of the adult population that leads to pain, gassiness, bloating, and changes in bowel habits.  Symptoms include constipation, diarrhea, or a painful but unsuccessful urge to move the bowels.

→ Read full details and recommendations
IBS (Irritable Bowel Syndrome) is indicated by what you have told us:
1
Severe irritable bowel syndrome
2
Bloating caused by specific foods
3
Significant abdominal pain
4
Bowel movement changes
5
Excessive flatulence

... and by the following:
6
(Less likely) Chronic Fatigue / Fibromyalgia Syndrome

Research has shown that IBS frequently co-exists with CFS and fibromyalgia.  Depending on the study quoted, between 34% and 73% of CFS/FMS sufferers have Irritable Bowel Syndrome.


IBS (Irritable Bowel Syndrome) is counter-indicated by the following:
-1
No significant diarrhea
-2
Not suffering from diarrhea
-3
Absence of meal-related bloating
Main Condition 9 of 41    Return to Condition Summary ↑

Condition: Hypothyroidism

53% likelihood
22% concern level
Top recommendations

You may be experiencing hypothyroidism.

Alternative Names: Hypothyroidism is often referred to as an "underactive thyroid gland".

Hypothyroidism is a condition in which the thyroid gland, which is located in the neck, does not make sufficient thyroid hormone to meet the body's requirements.  Caused in almost all cases by autoimmune disease, the result is that the immune system goes awry and begins gradually to destroy the thyroid gland.  This process is not usually associated with thyroid gland discomfort but may cause the gland to enlarge or shrink in size.

→ Read full details and recommendations
Hypothyroidism is indicated by what you have told us:
1
Missing outer third of eyebrows
2
Joint pain/swelling/stiffness
3
Slowed pulse rate
4
Poor cold weather tolerance
5
Numb/burning/tingling extremities
6
Brittle hair
7
Short-term memory failure

Forgetfulness is a symptom of hypothyroidism.

8
Regular postprandial somnolence
9
Brittle fingernails

Thyroid diseases may produce brittle nails or splitting of the nail bed from the nail plate.


... and by the following:
10
Probable Hypertension (High Blood Pressure)

Hypothyroidism reduces the amount of nitric oxide in the lining of the blood vessels, causing them to stiffen, which in turn raises diastolic blood pressure.

11
Confirmed Heartburn / GERD / Acid Reflux

Gastrointestinal manifestations of hypothyroidism include GERD as a result of delayed emptying of the stomach.

12
Possible Hypoglycemia

Patients suffering with Wilson's Syndrome, a form of hypothyroidism, occasionally experience intense and previously unfamiliar cravings for sweets.  The low body temperature patterns may affect the function of enzymes involved in glucose metabolism that could result in lower blood sugar levels which might contribute to sweet cravings.

13
Vegan Diet Consequences

Sub-clinical hypothyroidism, with raised thyroid stimulating hormone (TSH) levels but mild or absent overt symptoms, has been found to be more common among vegans than the general population.  Most vegans have low iodine intakes but a significant minority consume excessive amounts of iodine from seaweed, particularly kelp.  Both low and excessively high iodine intakes in vegans have been linked to elevated TSH levels.  The optimal range for TSH appears to be 1-2 mIU/l with values below 0.5 suggesting hyperthyroidism and values above 5 suggesting hypothyroidism.

14
(Less likely) Rheumatoid Arthritis

A study of rheumatoid arthritis patients found evidence of thyroid dysfunction 3 times more often than in controls.  The excess thyroid dysfunction was due to either hypothyroidism or Hashimoto's thyroiditis.  [Annals of Rheumatic Diseases, 1993;52 pp.454-6]

15
Low Sex Drive

Hypothyroidism can trigger loss of libido in both men and women.

16
Male Hair Loss

In rare cases, diffuse hair loss may be the only symptom of hypothyroidism, but in many people with hypothyroidism the hair is not affected.  Once thyroid hormone is administered, regrowth of hair occurs in approximately 2 months.

17
Dry skin

Hypothyroidism can manifest as dry or scaly or yellowish skin.

18
Dandruff

Hypothyroidism can manifest as dry, flaky skin.

19
(Less likely) Obstructive Sleep Apnea (OSA)

Hypothyroidism can present itself as obstructive sleep apnea and snoring.

20
Slight Edema (Water Retention)

Hypothyroidism is counter-indicated by the following:
-1
Possible Anemia

If anemia is identified as a problem then the likelihood of Hypothyroidism is reduced.  Therefore, it is wise to rule out anemia first, because both can contribute to similar symptomology.  Of course, it is not impossible for both to occur simultaneously, but this is less likely.

Main Condition 10 of 41    Return to Condition Summary ↑

Condition: Stress

91% likelihood
21% concern level
Top recommendations

A hereditary vulnerability and concerns such as economic or political uncertainties, a decreasing quality of life, looming unemployment, and fear of old age or abandonment has led to a general increase in persons who report stress.  Other contributing factors include insufficient regular leisure or physical activity, poor diet, an inadequate family structure and lack of a support network.  These personal, social, economical and dietary factors interact with biological factors to make stress a leading cause of ailments, from a simple heartburn to a decrease in immune responsiveness, and from this to cancer and other diseases.

→ Read full details and recommendations
Stress is indicated by what you have told us:
1
An average-stress lifestyle
2
High diastolic blood pressure
3
High systolic blood pressure
4
Weak sexual desire
5
Recent death of a loved one
6
Regular nightmares
7
Being a "night person"
8
Paying great attention to detail

Not only can poor attention to detail be a sign of stress, but so can its exact opposite, being a perfectionist.

9
Cold sores
10
Heart racing/palpitations
11
Bowel movement changes
12
Dizziness when standing up
13
Physical punishment during childhood
14
Short-term memory failure
15
Excessive flatulence

Gas can be caused by stress and the nervous habit of frequent swallowing.


... and by the following:
16
General Weakness
17
Confirmed Tinnitus

Many people say their tinnitus is worse when they are tired or stressed.

18
Confirmed Bruxism (Clenching/Grinding Teeth)

Teeth-grinding is often stress-related.

19
Muscle Cramps / Twitching

Small muscle twitching, usually called "tics", are often triggered by stress and anxiety.

20
Excessive Sweating
21
Small risk of Periodontal Disease - Gingivitis

Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal disease.  [Journal of Periodontology July 1999]

Main Condition 11 of 41    Return to Condition Summary ↑

Diabetes Type II

There are two major types of diabetes, Type 1 and Type 2.

TYPE 1, also known as Juvenile Diabetes or Insulin-Dependent Diabetes Mellitus (IDDM), is an autoimmune-related disease that usually strikes between the ages of 5 and 20 years.  In these cases, the patient does not produce enough insulin.

TYPE 2, also known as Adult Onset or Non-Insulin Dependent Diabetes mellitus (NIDDM), represents 90-95% of all diabetes, and is caused by a combination of insulin resistance (loss of sensitivity to insulin) and a relative insulin deficiency.  Physical health is key to this syndrome: 80% of sufferers are overweight and physically inactive.  This was once thought to be a middle-aged disease, but since childhood obesity has been on the rise, cases of Type 2 diabetes are being diagnosed at every age.  The majority of Type 2 diabetics are still over 55.

→ Read full details and recommendations
Diabetes Type II is indicated by what you have told us:
1
African ethnicity

African-Americans have higher rates of diabetes, prostate cancer, hypertension and coronary heart disease than whites.

2
Vision disturbances

High blood sugar can cause two problems which affect vision, namely blurred vision and retinopathy – a disease of the back of the eye.  Blurred vision is one of the first signs of elevated blood sugar.  The shape and size of the lens in your eye changes when your blood sugar fluctuates.  This swelling of the lens can cause blurred vision.

If you notice blurred vision, you should have your blood sugar checked.  The acceptable range for fasting glucose is 80-110mg.  If your blood sugar is substantially higher or lower than the acceptable range, contact your doctor.  When your blood sugar is controlled, your vision will return to its previous state.

3
High diastolic blood pressure
4
High systolic blood pressure

Blood pressure that is consistently at or above 140/90 is a sign of Type 2 Diabetes.

5
Taking naps

It was reported in 2010 that a Chinese study of 19,567 people found a correlation between increased napping and increased risk of developing type 2 diabetes.  Participants reporting frequent naps (4-6 days per week or daily) were 42% to 52% more likely to have diabetes.

6
Numb/burning/tingling extremities
7
Regular postprandial somnolence

... and by the following:
8
Confirmed Heartburn / GERD / Acid Reflux
9
Possible Elevated Insulin Levels

Hyperinsulinemia and insulin resistance are both factors that increase the risk of developing type 2 diabetes.  Hyperinsulinemia often predates diabetes by several years.

10
Dry Mouth
11
Nocturia
12
Low Sex Drive

Lack of sexual desire can be a consequence of diabetes.

13
Possible Lack of Sleep
14
Small risk of Periodontal Disease - Gingivitis

If you are diabetic, you are at higher risk of developing infections, including periodontal diseases.  These infections can in turn impair the body's ability to process and/or utilize insulin, creating a vicious circle in which your diabetes may be more difficult to control and your infection more severe than in a non-diabetic.  [Journal of Periodontology November 1999]

15
(Less likely) Neuritis/Neuropathy

Diabetes Type II is counter-indicated by the following:
-1
Confirmed absence of diabetes
Main Condition 12 of 41    Return to Condition Summary ↑

Condition: Bacterial Dysbiosis

86% likelihood
20% concern level
Top recommendations

Friendly bacteria are critically important for the health of our digestive and immune systems, for their detoxification and hormone-regulating capabilities, and for nutrient formation and absorption.

→ Read full details and recommendations
Bacterial Dysbiosis is indicated by what you have told us:
1
Past PPI antacid use

Research suggests that gastritis and ulcers are triggered by bacterial overgrowth, rather than by stomach acidity.  Long-term treatment of patients with potent acid blockers (proton pump inhibitors) which produce a more alkaline environment that is unfriendly to acid-tolerant bacteria such as Helicobacter pylori, may actually allow the overgrowth of other types of bacteria in the stomach, including Lactobacillus, Enterobacter, Staphylococcus and Propionibacterium which can result in inflammation, gastritis and ulceration.  [Gastroenterology, Jan 2002]

2
Excessive flatulence

... and by the following:
3
Confirmed IBS (Irritable Bowel Syndrome)

Some bacterial infections of the small bowel increase passive intestinal permeability.  IBS has been studied in patients with diarrhea, cramps and specific food intolerances.  Abnormal fecal flora has been a consistent finding, with a decrease in the ratio of anaerobes to aerobes, apparently due to a deficiency of anaerobic flora.  Previous exposure to antibiotics – metronidazole in particular – was associated with the development of this disorder.

4
Possible Hydrochloric Acid Deficiency
5
Possible Allergy to Foods (Hidden)
6
Possible Autoimmune Tendency
7
(Less likely) Ulcerative Colitis

A variety of bacterial pathogens can cause severe gastrointestinal symptoms such as bloody diarrhea, fever or abdominal pain.  In addition, many of these intestinal microbes can exacerbate or cause flare-ups of symptoms in patients who already have ulcerative colitis.

8
(Less likely) Crohn's Disease

During the early 1980s, exaggerated immunologic responses to components of the normal fecal flora were proposed as possible mechanisms behind inflammatory bowel disease.  Little progress has been made in confirming or disproving this theory, although bacterial overgrowth of the jejunum has been found in 30% of patients hospitalized for Crohn's disease, in which it contributes to diarrhea and malabsorption.  The demonstration of increased intestinal permeability in patients with active Crohn's disease and in healthy first degree relatives suggests the existence of a preexisting abnormality, such as dysbiosis, that allows an exaggerated immune response to normal gut contents to occur.

Elimination diets can induce remission in Crohn's disease as effectively as prednisone.  The primary bacteriologic effect of elemental diets is to lower the concentration of Lactobacilli in the stool drastically without altering levels of other bacteria.

9
(Less likely) Rheumatoid Arthritis

Immunologic responses to gut flora have been advanced by several authors as being important causative factors of inflammatory joint diseases.  It is well-known that reactive arthritis can be activated by intestinal infections with Yersinia, Salmonella and other enterobacteria.  In some cases bacterial antigens have been found in synovial cells and may enter the circulation because of the increased intestinal permeability associated with the intestinal infection.  Increased intestinal permeability and immune responses to bacterial debris may cause other types of inflammatory joint disease as well.


Bacterial Dysbiosis is counter-indicated by the following:
-1
No significant diarrhea
-2
Not suffering from diarrhea
Main Condition 13 of 41    Return to Condition Summary ↑

Condition: Low Male Testosterone Level (confirmed)

100% confirmed
19% concern level
Top recommendations

It is likely you have a testosterone deficiency.

Low testosterone effects almost every major system in the male body and has potentially serious long term health consequences.  Testosterone significantly affects the brain, libido, muscles, blood, and many other aspects of male health.

→ Read full details and recommendations
Low Male Testosterone Level is indicated by what you have told us:
1
Confirmed low testosterone levels
2
Very low fat/oil intake
3
Some health decline
4
Joint pain/swelling/stiffness
5
An average-stress lifestyle

... and by the following:
6
Moderate risk of Coronary Disease / Heart Attack

Researchers at Columbia University Medical School studied 55 men undergoing X-ray exams of their arteries and found that those with a lower testosterone level had higher degrees of heart disease (blockage of the coronary arteries).  This study also found that the protective HDL cholesterol levels were higher in men with higher testosterone levels.

Low testosterone is linked to hypertension, obesity, atherosclerosis and increased waist-to-hip ratio – all of these being heart attack risk factors.  Administration of testosterone to men has been reported to decrease the risk factors for heart attack.

7
Confirmed Atherosclerosis

Researchers at Columbia University Medical School found that serum testosterone levels were about 90ng/dl lower in patients who had suffered myocardial infarctions (MI) than in those who had not.  These results suggest that low testosterone levels predispose men to MI and are lower in men with severe coronary artery atherosclerotic disease than in controls.

8
Possible Osteoporosis - Osteopenia

Some 30% of men with spinal osteoporosis have long-standing testosterone deficiency, and one-third of men with testosterone deficiency have subnormal bone density that puts them at risk of fractures.

9
Erectile Dysfunction (ED, Impotence)

Without sufficient testosterone the penile muscles atrophy, with the result that insufficient blood is trapped for developing or maintaining an erection, which in turn leads to poor performance and the anxiety that follows.  One study found that low testosterone is a factor in 20% of men under 30 with erectile problems.

10
Low Sex Drive

Many studies over the years have shown that testosterone is critical to sexual desire.  One of the most common symptoms of low male testosterone level is a loss of libido.

11
Possible Andropause/Male Menopause

Low Male Testosterone Level is counter-indicated by the following:
-1
Being highly motivated
Main Condition 14 of 41    Return to Condition Summary ↑

Dehydration

You should be drinking more water.

Thirst can be a poor way of monitoring of your water needs.  You can lose your thirst sensation and the critical perception of needing water.  No longer recognizing a water need (unless very dehydrated), you can become gradually, increasingly, and chronically dehydrated with increasing age.  A "dry mouth" may be a late sign of dehydration.

→ Read full details and recommendations
Dehydration is indicated by what you have told us:
1
Sub-optimal water consumption
2
High systolic blood pressure
3
High diastolic blood pressure
4
Vision disturbances
5
Joint pain/swelling/stiffness
6
Dizziness when standing up
7
Numb/burning/tingling extremities
8
Adverse reaction to delayed meals

When we skip meals, we often also skip the drinks that go with the food.  If your hydration status is already marginal, a delayed meal may be enough to trigger dehydration symptoms.

9
An average-stress lifestyle
10
Occasional confusion/disorientation
11
Brittle fingernails
12
Your daily need: 5 cups / 1.25 liter

Your daily water requirement is based on your ideal weight (not your actual weight), and your ideal weight is calculated from your height and gender.


... and by the following:
13
Confirmed Heartburn / GERD / Acid Reflux

Dr. Batmanghelidj, author of Your Bodies Many Cries for Water, believes that in the same way we have a "hunger pain" signal, we also have a "thirst pain" signal in the body, and that it is called dyspepsia (heartburn).

14
Possible Kidney Disease

Renal insufficiency can occur from underperfusion due to dehydration.

15
(Less likely) Alzheimer's Disease

Due to older people's precarious homeostatic mechanisms they are much more prone than younger people to dehydration and electrolyte imbalances.  This may induce a confusional state which may be mistaken for a dementing illness such as Alzheimer's.

16
Confirmed Angina

Dr. Bantmanghelidj, MD in his book Your Body's Many Cries for Water reports many cases of angina attacks being reduced by drinking adequate water.

17
Moderate Dyspepsia / Poor Digestion
18
General Weakness

A loss of 4-5% of body weight of fluid decreases the capacity for hard muscular work by 20-30%.

19
(Less likely) Ulcerative Colitis

Dehydration occurs in patients with severe diarrhea as seen in ulcerative colitis.

20
Dry Mouth
21
Erectile Dysfunction (ED, Impotence)
22
(Less likely) Crohn's Disease
23
Probable Caffeine Intoxication

Dehydration may result from the increased urinary frequency brought on by caffeine.

24
Moderate Arrhythmias/Dysrhythmias
25
(Less likely) Rheumatoid Arthritis
26
Dry skin
27
Dizziness
28
Muscle Cramps / Twitching

Excess sweating or dehydration can deplete minerals in the body – minerals that are important for good muscle function, such as sodium, potassium, calcium, magnesium and phosphorus.

29
Excessive Sweating

Dehydration is counter-indicated by the following:
-1
Drinking fruit/vegetable juice
Main Condition 15 of 41    Return to Condition Summary ↑

Condition: Mercury Toxicity (Amalgam Illness)

Mercury poisoning differs from the other forms of metal poisoning in that it causes neurological symptoms rather than digestive disorders.

→ Read full details and recommendations
Mercury Toxicity (Amalgam Illness) is indicated by what you have told us:
1
Cold sores
2
Heavily coated tongue
3
Occasional confusion/disorientation
4
Joint pain/swelling/stiffness
5
Regular sore throats
6
Vision disturbances

Intermittent blurred distance vision is a sign of mercury toxicity.

7
Heart racing/palpitations

... and by the following:
8
Possible Kidney Disease

Kidney disease, including kidney failure, is a possible symptom of mercury toxicity.

9
Confirmed Angina

Mercury poisoning may be causing chest pain or angina, especially in anyone under age 45.

10
Confirmed Yeast / Candida Infection
11
Possible Allergy to Foods (Hidden)
12
Confirmed Tinnitus
13
Possible Hypoglycemia

Heavy metals such as mercury, cadmium, lead and thallium poison the glucose metabolizing catalysts, thus reducing the flow of energy throughout the body.  It is interesting to note that the symptoms of heavy metal poisoning are similar to symptoms associated with hypoglycemia i.e. hyperactivity, mood swings, manic depressive behavior, poor concentration and impulsive and unpredictable behavior.

14
Night Sweats

This symptom may be one of many associated with mercury toxicity.

15
Possible Weakened Immune System

In vitro studies suggest that even low, environmentally relevant exposure levels of mercury, which are not toxic, still contribute to immune dysfunction by interfering with proper lymphocyte functioning.  [Scand J Immunol 50(3): pp.233-241]

16
Confirmed Bruxism (Clenching/Grinding Teeth)

People with mercury amalgam fillings who grind their teeth or chew gum can suffer additional mercury release.

17
Nocturia
18
(Less likely) Chronic Fatigue / Fibromyalgia Syndrome
19
Male Hair Loss

Mercury toxicity can cause hair loss.

20
Dry skin

Exceptionally dry skin has been associated with mercury toxicity.

21
Muscle Cramps / Twitching

Unusual tics or twitching of facial muscles have been associated with mercury toxicity, as well as with muscle cramps in cases of high occupational exposure to mercury.

22
Bad Breath (Halitosis)
23
Poor Memory

Short term memory loss is initially the most common complaint associated with mercury toxicity.

24
(Less likely) Neuritis/Neuropathy
Main Condition 16 of 41    Return to Condition Summary ↑

Condition: Gastric/Peptic/Duodenal Ulcers

A peptic ulcer is a hole in the gut lining of the stomach, duodenum, or esophagus.  A peptic ulcer of the stomach is called a gastric ulcer; of the duodenum, a duodenal ulcer; and of the esophagus, an esophageal ulcer.  An ulcer occurs when the lining of these organs, normally protected by a thick mucous layer, is corroded by the acidic digestive juices which are secreted by the stomach cells.  Peptic ulcer disease is common, affecting millions of Americans yearly.

→ Read full details and recommendations
Gastric/Peptic/Duodenal Ulcers is indicated by what you have told us:
1
Significant amounts of occult blood
2
Significant epigastric pain

Most patients with ulcers complain of pain or discomfort that is located in the upper part of the stomach, often in the area immediately below or around the lower part of the breast bone.  This is called epigastric pain.  Symptoms may be associated with meals, or occur in-between meals, or sometimes even occur at night to the point where one can be woken up from sleep.  This pain may be relieved by meals also.

3
Slightly black/tarry stools

Bleeding from an ulcer may occur in the stomach or the duodenum, and sometimes is the only symptom.  Rapid bleeding causes bowel movements to become black or even bloody.

4
Dizziness when standing up

Patients with a bleeding ulcer may report a sense of passing out upon standing called orthostatic syncope.

5
Being in your 60s
6
Frequent aspirin use

Inflammation may be caused by aspirin and nonsteroidal anti-inflammatory medications (NSAIDs), but the bacterium H. pylori is generally responsible.


... and by the following:
7
Confirmed Heartburn / GERD / Acid Reflux

There is a relatively high prevalence of GERD amongst patients with duodenal or gastric ulcers.  Persistent dyspepsia/heartburn symptoms after eradication of H. pylori and ulcer resolution might suggest the treatment of GERD as a separate entity.  [Am J Gastroenterol 2000;95: pp.101-105]

8
Significant Stress

In general the duodenum isn't as well protected with mucus as is the stomach and is more prone to ulcers.  A deficiency of pancreatic juices to neutralize the acid chyme from the stomach, or stress causing sympathetic inhibition of enzyme secretion can lead to duodenal ulcer formation.

9
Possible Gastritis

Severe inflammation of the stomach lining (gastritis) can result in ulceration.

10
Bad Breath (Halitosis)
Main Condition 17 of 41    Return to Condition Summary ↑

Condition: Herpes Simplex Type I

95% likelihood
17% concern level
Top recommendations

Herpes simplex virus (HSV), which leads to "cold sores", is a recurrent viral infection that is caused by Herpes virus hominis (HVH), a most widespread infectious agent.  Attempts at controlling this infectious disease as well as latent infections associated with herpes viruses is an area presently being actively explored.

→ Read full details and recommendations
Herpes Simplex Type I is indicated by what you have told us:
1
Cold sores
Main Condition 18 of 41    Return to Condition Summary ↑

Condition: Need For Routine Preventative Health Measures

Millions of people continue to ignore their health because they do not have access to health care or can not afford it, because they do not practice healthy lifestyles, or because they do not take the time to visit their physician for regular check-ups.

→ Read full details and recommendations
Need For Routine Preventative Health Measures is indicated by what you have told us:
1
Unknown time since last doctor visit
2
Being in your 60s

Preventative health measures are something that many people (and their doctors) often forget.  They become especially important as you grow older.

3
Stroke in family members

If you have a family history of high blood pressure, heart or kidney disease, diabetes or stroke, you should have your blood pressure tested annually.

4
Heart disease in family members
5
Being somewhat nearsighted

If you wear corrective lenses or are over 50, eye exams should be performed every two years or so.

6
Hypertension in parents

If you have a family history of high blood pressure, heart or kidney disease, diabetes or stroke, you should have your blood pressure tested annually.

7
Unknown total cholesterol level

If you don't know your cholesterol levels, or haven't had them checked within the past five years, you should consider this simple test.


... and by the following:
8
Probable Hypertension (High Blood Pressure)

Those with high blood pressure should have a yearly eye examination.

9
Possible Diabetes Type II

Persons with diabetes must take extra care to be sure to have thorough, periodic eye exams (at least yearly), especially if early signs of visual impairment are noticed.  Anyone experiencing a sudden loss of vision, decrease in vision or visual field, flashes of light, or floating spots should contact their eye doctor right away.

10
Small risk of Glaucoma

Regular eye tests are recommended if you are over 40 years old.  The test for glaucoma must be performed by a trained person, either an ophthalmologist or a trained ophthalmic optician.  The test for glaucoma may not be a part of the standard eye test given and should be requested.

Those diagnosed with glaucoma will need to attend regular follow-up appointments during which any perceived loss of vision must be reported.  Those who have had an episode of acute glaucoma should be aware of the early symptoms and consult a doctor immediately should they re-occur.


Need For Routine Preventative Health Measures is counter-indicated by the following:
-1
Recent health checkup
Main Condition 19 of 41    Return to Condition Summary ↑

Condition: Hydrochloric Acid Deficiency

70% likelihood
16% concern level
Top recommendations

Hydrochloric acid (HCl) insufficiency can be complete (achlorhydria) or partial (hypochlorhydria) and intermittent.  HCl plays an important part in the first digestive step, which if not completed properly can result in digestive problems all the way through the digestive tract.

→ Read full details and recommendations
Hydrochloric Acid Deficiency is indicated by what you have told us:
1
Frequent meal-related burping
2
Possible delayed gastric emptying
3
Offensive-smelling stool
4
Excessive flatulence
5
Regular postprandial somnolence

... and by the following:
6
Confirmed Heartburn / GERD / Acid Reflux

Based on the clinical experience of doctors such as Dr. Jonathon Wright, MD, supplementing with hydrochloric acid sometimes relieves the symptoms of heartburn and improves digestion in individuals who have hypochlorhydria.  Unexplained bloating, belching and heartburn are frequently diagnosed as symptoms of hyperacidity and sometimes wrongly treated with antacids, when in fact the underlying problem is insufficient acid production.

7
Confirmed IBS (Irritable Bowel Syndrome)
8
Confirmed Yeast / Candida Infection
9
(Less likely) Rheumatoid Arthritis

Lack of stomach acid occurs frequently in rheumatoid arthritis patients.  This is associated with changes in gastric microbial patterns.

Main Condition 20 of 41    Return to Condition Summary ↑

Condition: Liver Function Test Requirement

68% likelihood
16% concern level
Top recommendations

The liver is the chemical factory of the body: it stores and releases energy and minerals, makes bile and controls fat absorption.  It also makes proteins, vitamins and hormones, regulates blood clotting, filters blood and breaks down waste products.  A blood test can show problems with various of these processes, indicating what illness is causing the problems.

→ Read full details and recommendations
Liver Function Test Requirement is indicated by the following:
1
Pronounced Jaundice

Jaundice is a common problem and liver function testing may give clues to the cause.

2
General Weakness
3
Possible Liver Detoxification / Support Requirement
Main Condition 21 of 41    Return to Condition Summary ↑

Increased Risk of General Detoxification Requirement

49% likelihood
15% concern level
Top recommendations

Toxicity is of much greater concern in this century than ever before.  There are many, many chemicals that we are exposed to which did not exist until recently.  The air, soil and water are becoming increasingly polluted with them.  This exposure, along with the common use of drugs, eating devitalized/refined foods, failing to exercise or drink enough water has resulted in a toxic storehouse within us creating a wide range of symptoms and disease.

→ Read full details and recommendations
Increased Risk of General Detoxification Requirement is indicated by the following:
1
Possible Hydrochloric Acid Deficiency
2
Possible Digestive Enzyme Need
3
(Less likely) Heavy Metal Toxicity
4
Bad Breath (Halitosis)
5
Poor Memory
Main Condition 22 of 41    Return to Condition Summary ↑

Osteoporosis - Osteopenia

"The silent crippler", as osteoporosis is often called, sneaks up on its victims and, without any pain, gradually causes bones to become more porous and fragile.  One day you grab your coat and your wrist snaps; or a friend hugs you and cracks your rib; or you step off a curb and break your hip...

→ Read full details and recommendations
Osteoporosis - Osteopenia is indicated by what you have told us:
1
Loss of height

Loss of height is an early sign of bone loss.

2
History of broken bones

... and by the following:
3
High risk of Vitamin B12 Requirement

Researchers at the University of California devised a study to determine if low levels of vitamin B-12 might be associated with bone loss in older women.  Results showed that women with the lowest levels of B-12 had a significantly higher risk of bone loss and fractures compared to women with the highest levels.  The researchers also noted that for some women, B-12 supplements may help slow the rate of bone loss.

4
Possible Hypothyroidism

People with hypothyroidism can develop osteoporosis if they are taking too much thyroid hormone.

5
(Less likely) Ulcerative Colitis

Scientists believe osteoporosis may occur when the immune system triggers inflammation in other parts of the body.  These problems are usually mild and go away when the colitis is treated.

6
Moderate risk of Elevated Cortisol Levels

If a woman is not ovulating she may have lower estrogen and progesterone levels.  Low estrogen levels can increase the activity of osteoclasts (bone breakdown cells) while low progesterone has been shown to increase PMS symptoms and slow bone deposition.  Also, to provide the extra calcium needed when faced with intense stress situation, cortisol can directly stimulate bone breakdown cells.  Unchecked over a long period of time, high cortisol levels can cause you to lose bone faster than you can rebuild it.

7
Possible Nutritional Deficiency

Trace minerals are necessary for the transport and absorption of calcium.

8
(Less likely) Rheumatoid Arthritis

According to researchers, women with rheumatoid arthritis have up to double the risk of developing osteoporosis and those who use steroid drugs to help control the arthritis are at an even higher risk of bone loss.  [Arthritis and Rheumatism, March 2000]

9
Possible Calcium Requirement

When body stores of calcium are low, the body must draw calcium from the bones in order to avoid serious complications.

10
(Less likely) Consequences of Poor Diet

Excess salt and sugar, found in junk foods, leach calcium from the bones into the urine.

11
(Less likely) Fluoride Toxicity

Fluorides destroy collagen, which is the glue that adds strength to the bones.

Main Condition 23 of 41    Return to Condition Summary ↑

Condition: Hemorrhoids (confirmed)

100% confirmed
15% concern level
Top recommendations

Hemorrhoids are swollen hemorrhoidal plexuses in and around the anus and lower rectum that stretch under pressure, similar to varicose veins in the legs.  Internal hemorrhoids are found just above the anal canal, while external hemorrhoids are usually visible under the skin around the anus.  The presence of external hemorrhoids suggests a good probability of internal hemorrhoids also.

→ Read full details and recommendations
Hemorrhoids is indicated by what you have told us:
1
Red blood in stools
2
Hemorrhoids
3
Anal itching
Main Condition 24 of 41    Return to Condition Summary ↑

Condition: Yeast / Candida Infection (confirmed)

100% confirmed
14% concern level
Top recommendations

Based on your symptoms and history, intestinal candidiasis only a possibility.  The following information is provided for you benefit should you still be concerned about this condition.

Alternative Names: Candidiasis, Thrush, Oral Thrush, Vaginal Thrush, Candida Albicans, Vaginal Yeast Infection

Candida albicans is an opportunistic yeast that normally inhabits the mouth, throat, intestines and genitourinary tract of most humans and is usually considered to be a normal part of the bowel flora (the organisms that coexist with us in our lower digestive tract).  However, it may become pathogenic when there is a disturbance in the balance of flora, or a debilitation of the host from other causes.

→ Read full details and recommendations
Yeast / Candida Infection is indicated by what you have told us:
1
Heavily coated tongue

A white, coated tongue is a sign and symptom of what doctors call Oral Thrush.  Candidiasis of the mouth and throat, also known as a "thrush" or oropharyngeal candidiasis (OPC), is a fungal infection that occurs when there is overgrowth of fungus called Candida.  Candida is normally found on skin or mucous membranes.  However, if the environment inside the mouth or throat becomes imbalanced, Candida can multiply.  People with white tongues may have painless, white patches in their mouths and throats, but wiping away the white patches will generally cause soreness.

2
Difficulty swallowing

If you have fungal overgrowth in your esophagus, symptoms may include pain and difficulty in swallowing.

3
High cigarette smoke sensitivity
4
Anal itching
5
Bowel movement changes
6
Allergy to chemicals
7
Excessive flatulence
8
Craving but not eating wheat
9
Regular postprandial somnolence

... and by the following:
10
Significant Stress
11
Moderate risk of General Detoxification Requirement

Toxic metals, such as mercury (found in dental amalgams and some fish) and chemicals, such as aspartame, MSG and others can kill friendly intestinal flora, alter immune response and allow yeast to proliferate.

12
General Weakness
13
Confirmed Household Mold Exposure

Environmental molds or chemicals can cause Candida.

14
(Less likely) Crohn's Disease
15
(Less likely) Consequences of Poor Diet

Improper diets, such as those high in carbohydrates, sugar, yeast and yeast products can lead to Candida overgrowth.

16
Male Hair Loss

Candida can cause hair shedding in male or female patients.  The exact mechanism is unclear because there are so many possible pathways.  The three most likely pathways are thyroid dysfunction, allergies and enzyme suppression.

17
(Less likely) Mitral Valve Prolapse

One doctor has reported that over 80% of the women who have been diagnosed as having mitral valve prolapse suffer from an overgrowth of candida albicans.

18
Slight Overconsumption

Overeating causes indigestion of food and allows fermentation.


Yeast / Candida Infection is counter-indicated by the following:
-1
Absence of meal-related bloating
Main Condition 25 of 41    Return to Condition Summary ↑

Condition: Allergy to Foods (Hidden)

You should be aware that food allergies may be influencing you health.  Educating yourself on this subject will help you to determine if you want to take any action at this time.

Food allergy and sensitivity is an important, complex, and often overlooked cause of symptoms and disease.  Chasing down the culprits may require the services of a doctor.

→ Read full details and recommendations
Allergy to Foods (Hidden) is indicated by what you have told us:
1
Bloating caused by specific foods
2
Regular sore throats

The ear, nose, and throat are common target organs for food allergens.  Congestion or inflammation of the nose (rhinitis), sinuses (sinusitis), and throat (pharyngitis) may be due to airborne irritants and allergens, but food allergy may be the undiagnosed cause of these common problems.

3
Significant epigastric pain

The first part of the body to react to food is often the gastrointestinal tract.  Sometimes mast cells are involved in allergic reactions and release chemicals such as histamine.  If the affected mast cells are in the gastrointestinal tract, a person may suffer vomiting, abdominal pain or diarrhea.

4
Heart racing/palpitations
5
Craving specific foods

We may actually be allergic to the very foods we most crave.  By eliminating these foods from our diet for 10-14 days, the cravings may disappear as the withdrawal symptoms cease.

6
High cigarette smoke sensitivity

Smoke can aggravate underlying allergies.

7
Anal itching
8
Excessive flatulence
9
Regular postprandial somnolence
10
Bowel movement changes

... and by the following:
11
Confirmed IBS (Irritable Bowel Syndrome)

The presence of food allergy is concealed in a variety of diagnoses including irritable bowel syndrome.

12
Confirmed Heartburn / GERD / Acid Reflux
13
Possible Weakened Immune System

Food allergies divert some of the immune system's resources away from preventing and dealing with illness.  Thus, continuous consumption of a food which is causing symptoms weakens your immune system.  A weakened immune system enables infections and cancerous growths to develop and take hold.  Many patients report that they suffer from more than one symptom or illness when reintroducing a known food allergen into their diet after a period of abstinence.

14
Confirmed Bruxism (Clenching/Grinding Teeth)

Hidden food allergies may contribute to the chronic clenching of teeth.

15
Possible Environmental Illness / MCS

People with multiple chemical sensitivities often have multiple food allergies as well.  While reactions to chemicals in the environment are generally quicker and more easily identified, food allergies are usually delayed, making it harder to pinpoint the offending food.  People with MCS are often unaware of hidden food allergies which could be contributing to their overall allergic load.

16
Slight Edema (Water Retention)

Allergy to Foods (Hidden) is counter-indicated by the following:
-1
Slowed pulse rate
Main Condition 26 of 41    Return to Condition Summary ↑

Condition: Autoimmune Tendency

Autoimmune diseases result from the body's immune system mistaking the tissues its own body for foreign invaders, and attacking them.

→ Read full details and recommendations
Autoimmune Tendency is indicated by the following:
1
Possible Hypothyroidism
2
Possible Diabetes Type II

Type 2 diabetes is in the process of being redefined as an autoimmune disease rather than just a metabolic disorder.

3
(Less likely) Ulcerative Colitis
4
Possible Gluten Sensitivity / Celiac Disease
5
(Less likely) Crohn's Disease
6
(Less likely) Sjogren's Syndrome
7
Possible Environmental Illness / MCS

Reports of autoimmune markers in MCS patients, like most MCS data, are inconsistent.  Drs. Alan LeVin and Vera Byers in 1992 reported finding anti-thyroid and anti-smooth muscle antibodies among MCS patients, leading to the conclusion that some MCS patients may develop autoimmune disease: The immune systems of MCS patients may generate antibodies to chemicals, or to their own tissues, the latter of which may activate an autoimmune response.  In some cases, MCS could be viewed as a chemically-formed autoimmune disease.  [Environ Health Perspect 105(Suppl 2): pp.417-436 (1997)]

8
(Less likely) Rheumatoid Arthritis
9
(Less likely) Lupus, SLE (Systemic Lupus Erythematosus)
10
(Less likely) Multiple Sclerosis
11
(Less likely) Sarcoidosis
Main Condition 27 of 41    Return to Condition Summary ↑

Increased Risk of Increased Intestinal Permeability / Leaky Gut

59% likelihood
14% concern level
Top recommendations

Alternative Names: Intestinal Hyper-Permeability; Increased Intestinal Permeability.

Leaky gut – or leaky gut syndrome (LGS) – is a poorly recognized but very common problem, which is rarely tested for.  This condition results from an overly-permeable intestinal lining with spaces between the cells of the gut wall.  These spaces allow "foreign" material (bacteria, toxins and food) to leak into your body where they should not be, placing an additional burden on the immune and detoxification systems.

→ Read full details and recommendations
Increased Risk of Increased Intestinal Permeability / Leaky Gut is indicated by what you have told us:
1
Bloating caused by specific foods
2
Bowel movement changes

... and by the following:
3
Probable Bacterial Dysbiosis

It is likely that both yeast and bacterial overgrowth commonly occur together; overgrowth of either can lead to Leaky Gut Syndrome.

4
Confirmed Yeast / Candida Infection

It is likely that both yeast and bacterial overgrowth commonly occur together; overgrowth of either can lead to Leaky Gut Syndrome.

5
Possible Allergy to Foods (Hidden)
6
(Less likely) Ulcerative Colitis
7
Possible Gluten Sensitivity / Celiac Disease
8
(Less likely) Crohn's Disease
9
(Less likely) Rheumatoid Arthritis
Main Condition 28 of 41    Return to Condition Summary ↑

Senile Dementia

44% likelihood
14% concern level
Top recommendations

Senile dementia is a disease caused by degeneration of the brain cells.  It is different from normal senility in the elderly in that the patient's brain function will gradually deteriorate resulting in progressive loss of memory and mental abilities, and noticeable personality changes.

→ Read full details and recommendations
Senile Dementia is indicated by what you have told us:
1
Occasional confusion/disorientation

... and by the following:
2
Probable Hypertension (High Blood Pressure)

Hypertension is a risk factor for reduced circulation in the brain, sometimes called ischemic vascular dementia (IVD).

3
Moderate risk of Stroke

Multi-infarct dementia is caused by a series of minor strokes.  It usually results from damage to the small blood vessels in the brain causing deprivation of blood supply to the brain cells thus affecting its function.  Patients' abilities will decline in a step-like pattern.

4
Confirmed Atherosclerosis

Atherosclerosis is a risk factor for reduced circulation in the brain, sometimes called ischemic vascular dementia (IVD).

5
(Less likely) Alzheimer's Disease

Alzheimer's Disease is the most common cause of dementia, being responsible for 60-80% of cases.  All people with Alzheimer's disease have problems with memory loss, disorientation and thinking ability.

6
(Less likely) Consequences of Poor Diet

Poor nutrition is one possible cause of senile dementia.

7
Dizziness

Dizziness can be caused by any condition causing confusion or an altered state of mind, including medications, drugs or alcohol.

Main Condition 29 of 41    Return to Condition Summary ↑

Increased Risk of Iodine Requirement

77% likelihood
14% concern level
Top recommendations

Iodine is vital for good thyroid function, which in turn is essential for good health.  Iodine deficiency was prevalent in the U.S.  before the iodization of salt became a common practice in the 1920s [Journal of the American Dietetics Association 79 (1981): p.17].

→ Read full details and recommendations
Increased Risk of Iodine Requirement is indicated by what you have told us:
1
Vegan diet

Iodine is typically undesirably low (about 50mcg per day compared to a recommended level of about 150mcg) in vegan diets unless supplements, iodine-rich seaweeds or foods containing such seaweeds are consumed.  The low iodine levels in many plant foods reflect the low iodine levels in the soil.  About half the iodine consumption of omnivores comes from dairy products.

In October of 2003, one of many articles appeared on iodine deficiency in vegetarians and vegans [Annals of Nutrition and Metabolism 47 (2003): p.183].  Quoting from the paper: "One fourth of the vegetarians and 80% of the vegans suffer from iodine deficiency..." Only 9% of the meat-eaters were deficient.  The milk drinkers were protected in part because iodine-containing disinfectants are used to clean the milk processing equipment.  None of the vegetarians and vegans were eating sea vegetables, and none were using iodized salt – they were all using "natural" sea salt, which has significantly less iodine.

2
Low iodine consumption
3
Possibly jaundiced skin

Hypothyroidism can manifest as dry or scaly or yellowish skin.


... and by the following:
4
Possible Hypothyroidism

Low iodine intake can cause hypothyroidism in adults.

Main Condition 30 of 41    Return to Condition Summary ↑

Zinc Requirement

76% likelihood
13% concern level
Top recommendations

Zinc is a little different from some of the other well-known minerals.  Whilst some of these have a well-known, identifiable function familiar to us, such as calcium for bone strength and iron for healthy red blood cells, zinc has no single clear action but instead performs a number of important functions in the body.  This is because zinc is an essential component of around 200 enzymes that are involved in a range of actions within the body.

→ Read full details and recommendations
Zinc Requirement is indicated by what you have told us:
1
Weak sexual desire
2
Frequent soy consumption

Soybeans have the highest levels of phytic acid of any legume, and as such have an extraordinary ability to cause mineral deficiencies.  Soy chelates zinc from our bodies.

3
Brittle fingernails

... and by the following:
4
Significant Stress

Levels of zinc and other trace minerals were determined in 66 men before and after a five-day period of sustained physical and psychological stress.  Zinc levels decreased by 33% on average.

5
Confirmed Low Male Testosterone Level

(This relationship of testosterone levels to zinc status does not apply to women.)

Studies support the use of zinc supplementation in the treatment of low sperm count especially in the presence of low testosterone levels.  Both sperm count and testosterone levels rose in men with initially low testosterone levels.  Zinc status should be evaluated in men with decreased serum testosterone levels.  [Nutrition Report, September-October, 1996;14(7): p.52]

6
High risk of Iodine Requirement

Low zinc intakes exacerbate the effect of low iodine intake.

7
Confirmed Tinnitus

High concentrations of zinc are found in the inner ear.  A Japanese study tested the theory that insufficient levels of zinc may therefore contribute to tinnitus.  Researchers found that tinnitus sufferers with low zinc levels in their blood experienced an improvement in their symptoms when, after two weeks of zinc supplementation, their zinc levels rose significantly.

Another study found that 25% of those with tinnitus and low serum zinc reported improvement after 3 to 6 months of supplementation.  [ Am J Otol 1985;6: pp.116-7]

8
Moderate risk of Enlarged Prostate
9
Vegan Diet Consequences

Vegetarians who consume a variety of legumes and nuts will probably meet their zinc requirement, but otherwise a vegetarian diet may be inadequate in zinc.  Since the zinc from plant sources is absorbed less readily, this increases the concern about zinc status in vegetarians who do not consume legumes and nuts.

10
Possible Weakened Immune System

Zinc deficiency weakens the immune system.

11
(Less likely) Rheumatoid Arthritis

There is a possibility that zinc malabsorption may contribute to low zinc levels amongst rheumatoid arthritics.  [J Rheumatol.  1997;24(4): pp.643-646] While levels of zinc have been found to be lower than normal in the blood of patients with rheumatoid arthritis, supplementation does not appear to be beneficial to the condition.

12
Male Hair Loss

Mineral metabolism of 19 patients with hair loss was examined.  Twelve of those patients had problems with their zinc metabolism.  Specific nutritional and mineral therapy resulted in improved hair growth after 2-3 months of treatment.  [Blaurock-Busch, E.  Wichtige Nahrstoffe fur Gesunde Haut und Haare, Kosmetik Internat.  3/87]

13
Night Blindness

Zinc is required in order to transport vitamin A from the liver to the retina and thus zinc supplementation, especially in those who are deficient, should help improve night vision.


Zinc Requirement is counter-indicated by the following:
-1
Multiple mineral supplement use
Main Condition 31 of 41    Return to Condition Summary ↑

Condition: Dyspepsia / Poor Digestion

56% likelihood
13% concern level
Top recommendations

This is a vague problem that is functional in nature and usually not due to an underlying structural cause.  Belching, distension and abdominal sounds often occur in association with abdominal or epigastric pain.  Dietary factors are often important in reducing symptoms; because similar symptoms may be due to more serious conditions, it is important to have an accurate diagnosis.

→ Read full details and recommendations
Main Condition 32 of 41    Return to Condition Summary ↑

EFA (Essential Fatty Acid) Requirement

73% likelihood
13% concern level
Top recommendations

It seems you may have a general requirement for essential fatty acids.

Please refer to the discussion of this topic in the Recommendations/Treatments section.  This knowledge will help you decide what you should do as you read about "Essential Fatty Acids" there.

→ Read full details and recommendations
EFA (Essential Fatty Acid) Requirement is indicated by what you have told us:
1
Hydrogenated fat consumption

... and by the following:
2
Confirmed Yeast / Candida Infection
3
Possible EFA (Essential Fatty Acid) Type 3 Requirement
4
Confirmed Chronic Inflammation

In order to maintain proper balance of the antispasmodic and anti-inflammatory prostaglandins (PGE1 and PGE3) with the pro-spasmodic and pro-inflammatory prostaglandins (PGE2), it is critical to have the proper balance of essential fatty acids.  Without adequate amounts of both Omega-3 and Omega-6 oils in the diet, prostaglandin production will be reduced and problems may result.

5
Male Hair Loss

Essential fatty acid deficiency can results in dry, brittle hair and hair thinning or loss.

6
Dry skin
7
Dandruff

A diet low in essential fatty acids can result in skin problems, such as dandruff.

Main Condition 33 of 41    Return to Condition Summary ↑

Condition: Hypoglycemia

You should be aware of your tendency toward hypoglycemia.

Hypoglycemia is a general term used to describe a mixed bag of symptoms that are due to a derangement of glucose metabolism.  Under the strict medical definition, hypoglycemia mainly refers to a drop in fasting blood sugar below 50mg% (normal range 70-90mg%).  This drop can be associated with differing symptoms depending on the rate at which the blood sugar falls.

→ Read full details and recommendations
Hypoglycemia is indicated by what you have told us:
1
Adverse reaction to delayed meals

Skipping a meal causes blood sugar levels to drop, triggering a release of hormones that compensate for low glucose levels.  These can narrow the arteries, increase blood pressure, and result in headaches or migraines.  Low blood sugar also leads to fatigue and the feeling of weakness.

2
Inner trembling
3
Craving but not eating wheat
4
Severe tinnitus
5
Occasional confusion/disorientation
6
Strong appetite

Hunger is a symptom of hypoglycemia.

7
Vision disturbances

Blurred vision and diplopia (double-vision) are possible symptoms.

8
Heart racing/palpitations
9
Numb/burning/tingling extremities
10
Regular postprandial somnolence
11
Dizziness when standing up

... and by the following:
12
General Weakness
13
Night Sweats

Nighttime hypoglycemia may be without symptoms or manifest itself as night sweats, unpleasant dreams or early morning headache.

14
Dizziness

Dizziness and fainting spells are a possible symptoms of hypoglycemia, which may in turn be a reaction to insulin.

15
Muscle Cramps / Twitching

As hypoglycemia progresses a variety of symptoms can occur including muscle twitching.  Amongst 300 patients in one study (185 female, 115 male) found to have relative hypoglycemia (a drop of 20% or more below the fasting blood sugar level during a 6-hour glucose tolerance test), 23% had muscular twitching or cramps.

16
Poor Memory

Temporary forgetfulness is a known symptom of hypoglycemia.

17
Excessive Sweating
Main Condition 34 of 41    Return to Condition Summary ↑

Wise to rule out: Cancer, General

This condition is included in the report of anyone who has (or has had) a known cancer, or who may be at greater risk of developing it.  It contains general recommendations that may be useful in dealing with a wide range of cancers.

→ Read full details and recommendations
Cancer, General is indicated by what you have told us:
1
Being in your 60s

... and by the following:
2
(Less likely) Colon Cancer
3
Night Sweats

Several malignancies can lead to night sweats.

4
(Less likely) Prostate Cancer
5
(Less likely) Carcinoid Cancer
6
(Less likely) Obstructive Sleep Apnea (OSA)

May, 2012: According to research to be published in the American Journal of Respiratory and Critical Care Medicine, those affected by severe sleep disordered breathing (SDB) are 4.8 times more likely to develop cancer than those who are not.  Those with moderate SDB are at double the risk, and those with only slight SDB have a 10% increased risk of developing cancer.

The researchers from the University of Wisconsin-Madison looked at cancer rates in more than 1,500 people, in a study of sleep problems that has spanned 22 years.


Cancer, General is counter-indicated by the following:
-1
Frequent aspirin use

Several studies have demonstrated reduced mortality from various cancers among regular aspirin users.  A 2012 study showed a large reduction in death from esophageal, stomach and colon cancers among daily aspirin users, and a 12% reduction for other types of cancer.  [JNCI J Natl Cancer Inst (2012) 104 (16): pp1208-1217]

Main Condition 35 of 41    Return to Condition Summary ↑

Wise to rule out: A Potentially Urgent Medical Need

39% likelihood
22% concern level
Top recommendations

You should seek the advice of a doctor soon if you are not currently seeing an MD, DO, or ND regarding potentially significant problem(s) you have reported to us.

Emergency medicine can be life-saving.  Even if you have some philosophical, religious or financial objection to doing this, it is in your best interest to take action unless you are very sure of what is causing the significant symptoms you have reported or you have already seen a qualified doctor recently regarding them.

→ Read full details and recommendations
A Potentially Urgent Medical Need is indicated by what you have told us:
1
Significant abdominal pain

Severe acute or prolonged abdominal pain is a possible symptom of many serious conditions.  You are advised to seek medical attention as soon as possible, unless you already know the cause of the pain.

2
Slightly black/tarry stools

Blood, as seen in the stool, can originate anywhere along the intestinal tract.  A black stool (called melena) usually means that the blood is coming from the upper part of the tract.  At least 4 Tablespoons (60ml) of blood must have been lost in order to make the stool black.  Maroon-colored stools suggest that the blood is coming from the middle portion of the intestinal tract, and bright red from the large bowel or rectum.  If stools change color suddenly, it can be evidence of internal bleeding which requires immediate medical attention.

The ingestion of black licorice, Pepto-Bismol, or blueberries can all cause black stools or false melena.  Stools should be tested for the presence of hidden blood.


A Potentially Urgent Medical Need is counter-indicated by the following:
-1
Being under medical supervision
Main Condition 36 of 41    Return to Condition Summary ↑

Wise to rule out: Kidney Disease

36% likelihood
20% concern level
Top recommendations

If in doubt, have a doctor make sure that your kidneys are functioning properly.

There are many types of kidney disease, most of which are potentially serious.  Whether you get kidney disease is mostly due to bad luck, but whether it progresses to end-stage kidney failure does depend largely on what is done about it.

→ Read full details and recommendations
Kidney Disease is indicated by what you have told us:
1
High diastolic blood pressure
2
High systolic blood pressure

High blood pressure commonly results from kidney problems, and often damages the small blood vessels in the kidneys.  When this happens, the blood vessels cannot filter toxins from the blood as easily.

3
Possibly jaundiced skin

... and by the following:
4
(Less likely) Congestive Heart Failure

Renal insufficiency due to underperfusion from a failing heart is more widespread than commonly thought.

5
(Less likely) Cirrhosis of the Liver

Liver Cirrhosis can lead to kidney dysfunction and failure.

6
Possible Kidney Stones (Urolithiasis)

A kidney stone that is obstructing will cause damage to the kidneys in the long run if left untreated and may even lead to end stage kidney failure.  Anyone with a past history of kidney stones should have regular screening performed as the recurrence rate is high.

7
Dry skin

Excessively dry, persistently itchy skin is a possible symptom of kidney disease.

8
Excessive Sweating
9
Slight Edema (Water Retention)

Kidney Disease is counter-indicated by the following:
-1
Recent onset hypertension
Main Condition 37 of 41    Return to Condition Summary ↑

Wise to rule out: Colon Cancer

The colon's importance seems often to be glossed over and patronized by today's mainstream approach, in which the colon is thought of simply as the body's sewer, without regard for its many critical, dynamic biologic functions.  Consequently, rates of death from colon cancer are at an all time high in our country's history.  Colon cancer is now the third most common cancer in the U.S.

→ Read full details and recommendations
Colon Cancer is indicated by what you have told us:
1
Significant amounts of occult blood
2
Red blood in stools

In general, you should see a specialist if you are over 40 and have the following symptoms:

  • A change in normal bowel habits towards looser and/or more frequent stools that has lasted for over 6 weeks
  • Any bleeding from the rectum.
3
Bowel movement changes

In general, you should see a specialist if you are over 40 and have the following symptoms:

  • A change in normal bowel habits towards looser and/or more frequent stools that has lasted for over 6 weeks
  • Any bleeding from the rectum.
4
Excessive flatulence

... and by the following:
5
Probable Bacterial Dysbiosis

A putrefaction dysbiosis is accompanied by an increase in fecal concentrations of various bacterial enzymes which metabolize bile acids to tumor promoters.

6
(Less likely) Ulcerative Colitis

Inflammatory bowel disease increases the risk of colon cancer.

7
(Less likely) Crohn's Disease

Inflammatory bowel disease increases the risk of colon cancer.

8
Small risk of Problems Associated With A Sedentary Lifestyle

Risk of developing breast and colon cancers is significantly increased in those who spend a lot of time sitting, according to research presented in November of 2011 at the American Institute for Cancer Research.


Colon Cancer is counter-indicated by the following:
-1
Frequent aspirin use

Aspirin has been found to reduce the risk of colorectal cancer by up to 60%, with researchers finding that 600mg of aspirin per day for 25 months substantially reduces cancer incidence after 5 years in carriers of hereditary colorectal cancer.

Main Condition 38 of 41    Return to Condition Summary ↑

Wise to rule out: Congestive Heart Failure

17% likelihood
17% concern level
Top recommendations

Alternative Names: Cardiac Insufficiency

Congestive heart failure (CHF) is a serious condition in which the heart is not pumping well enough to meet the body's demand for oxygen.  This condition has its name due to the heart failing to pump efficiently, which often results in congestion of the lungs.  As a result, the heart tries to overcompensate for the problem, which only makes the problem worse.

→ Read full details and recommendations
Congestive Heart Failure is indicated by what you have told us:
1
Being in your 60s
2
Shortness of breath when at rest

Congestive heart failure leads to reduced blood supply to the kidneys, which leads in turn reduced kidney function, and in turn excess fluid retention (edema).  The lungs may become congested with fluid (pulmonary edema) and thus the ability to exercise is decreased.

3
Edema of the ankles/lower legs

Edema of the ankles is a common manifestation of failure of the right ventricle related to both venous congestion and salt and water retention.  Those experiencing constant or worsening swelling of the feet or legs should see a doctor for a heart evaluation.


... and by the following:
4
Nocturia

Edema fluid that collects in tissues during the day due to heart failure can result in increased night time urination.

5
(Less likely) Hemochromatosis (Iron overload)

Congestive heart failure occurs in about 7% of symptomatic patients with hemochromatosis.  If untreated, patients may develop an acute onset of severe congestive heart failure with rapid progression to death.

Main Condition 39 of 41    Return to Condition Summary ↑

Wise to rule out: Alzheimer's Disease

Alzheimer's disease is the most common form of senile dementia.  The causes are not yet known, and up to now there is no effective treatment.  Patients with Alzheimer's disease deteriorate very gradually, so the disease is often not detected in its early stages.

→ Read full details and recommendations
Alzheimer's Disease is indicated by what you have told us:
1
Occasional confusion/disorientation
2
Short-term memory failure
3
Being in your 60s

The incidence of Alzheimer's appears to double every five years after the age of 65.  "Age is the number one risk factor", said Dr. Rudolph Tanzi, director of the Genetics and Aging Research Unit at Massachusetts General Hospital.  The reason, say experts, is the normal wear and tear the cells of the brain undergo as we age.  Alzheimer's afflicts nearly half of all people past the age of 85.


... and by the following:
4
Possible Diabetes Type II

According to a new study in Neurology, diabetes mellitus may not only damage the function of the eye, limbs, kidneys, and heart – it may also impair the function of the brain and hasten the process of senile dementia.

Researchers found that diabetes mellitus nearly doubles the risk of developing both vascular dementia and Alzheimer's disease, according to the Rotterdam Study, a large prospective analysis which tracked dysglycemia and dementia in over 6,000 individuals over the age of 55.  Diagnosis of diabetes was based on World Health Organization criteria using a glucose tolerance test.

A related editorial called Alzheimer's a possible "brain-type diabetes".  Besides damaging important blood vessel networks and increasing the risk of small "silent" strokes deep inside the brain, dysglycemia may be directly involved in the development of the neurofibrillary tangles, the clumping of nerves and fiber tissue inside the brain characteristic of Alzheimer's.

The researchers noted that advanced glycation endproducts (AGE), proteins damaged by chronically high blood sugar levels, are commonly found inside these tangles.  "In brains of AD patients the receptor for AGE appears overexpressed," they noted.  "Activation of this receptor leads to increased oxidative stress that may result in cellular damage."

Diabetes also disrupts insulin signaling to other cells in the body.  This altered signaling may increase the activity of a neuronal enzyme that stimulates phosphorylated tau proteins to build up, a key trigger mechanism cited as one of the earliest signs of Alzheimer's.

NOTE: This study strongly suggests the important potential role of glycation products and insulin response, not just glucose levels, in the etiology of degenerative disease.

5
Confirmed Low Male Testosterone Level

Baltimore Longitudinal Study showed a strong correlation between low testosterone levels and dementia, as well as increased risk of Alzheimer's disease.

6
Possible Mercury Toxicity (Amalgam Illness)

Because Alzheimer's patients often exhibit increased concentration of heavy metals such as mercury in their blood and brain, toxic exposure is believed to play an important role.  The areas of the brain that mercury favors are those involved with memory (amygdala and hippocampus).  It is not just aluminum that is implicated in Alzheimer's.

7
Dry Mouth
8
Confirmed Chronic Inflammation

Research published in the Journal of Neuroinflammation in July, 2012 has shown that chronic inflammation can leave the brain vulnerable to developing Alzheimer's.


Alzheimer's Disease is counter-indicated by the following:
-1
Keeping mind active

Staying mentally active/stimulated appears to reduce the risk.

-2
Frequent aspirin use

People who regularly take aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) have a reduced risk of developing Alzheimer's Disease.

Main Condition 40 of 41    Return to Condition Summary ↑

Wise to rule out: Aneurysm / Rupture

17% likelihood
13% concern level
Top recommendations

An aneurysm is the abnormal enlargement or bulging of an artery caused by damage to or weakness in the blood vessel wall.  Although aneurysms can occur in any type of the body's blood vessels, they almost always form in an artery.  Most aneurysms occur in the abdomen or the brain.

→ Read full details and recommendations
Increased Risk of Aneurysm / Rupture is indicated by the following:
1
Probable Hypertension (High Blood Pressure)
2
Confirmed Atherosclerosis

Hardening of the arteries (atherosclerosis) weakens artery walls and predisposes the damaged portion to enlargement.

Main Condition 41 of 41    Return to Condition Summary ↑

Secondary Health Conditions - Detail

Below, for your reference, are the details of 13 health conditions which, although not likely or serious enough to be included in the main list, are worth considering.

Condition: Hepatitis

Hepatitis is a serious inflammation of the liver.  Viral hepatitis, the most common form, usually appears as type A, B, or C.  Type B (HBV) and Type C (HCV) affect people of all ages.  Hepatitis can result from long-term alcohol abuse, infection, or exposure to various chemicals and drugs.

→ Read full details and recommendations
Hepatitis is indicated by what you have told us:
1
Significant abdominal pain
2
High cigarette smoke sensitivity

... and by the following:
3
Pronounced Jaundice
4
General Weakness
5
(Less likely) Ulcerative Colitis

The immune system may trigger mild inflammation in the liver as a result of ulcerative colitis.  This problem is usually mild and goes away when the colitis is treated.

6
(Less likely) Selenium Requirement

Selenium is essential for healthy immune functioning.  A large-scale study has shown that selenium supplementation reduces the incidence of viral hepatitis in selenium-deficient populations, presumably by enhancing immune function.  [Yu S-Y, Li W-G, Zhu Y-J, et al.  Chemoprevention trial of human hepatitis with selenium supplementation in China.  Biol Trace Element Res 1989;20: pp.15-20]

Secondary Condition 1 of 13    Return to Main Condition Summary ↑

Cirrhosis of the Liver

26% likelihood
14% concern level
Top recommendations

Alternative Names: Chronic liver disease, alcoholic liver disease

Cirrhosis of the liver is a condition in which scar tissue replaces normal, healthy tissue, blocking the flow of blood through the organ and preventing it from working as it should.  Cirrhosis is the eighth leading cause of death by disease and the cost of cirrhosis in terms of human suffering, hospital costs and lost productivity is high because loss of liver function affects the body in many ways.

→ Read full details and recommendations
Cirrhosis of the Liver is indicated by what you have told us:
1
Being medication sensitive

Cirrhosis slows the liver's ability to filter medications from the blood.  Because the liver does not remove drugs from the blood at the usual rate, they act longer than expected and build up in the body.  This causes a person to be more sensitive to medications and their side-effects.

2
Edema of the ankles/lower legs

When the liver loses its ability to make the protein albumin, water accumulates in the legs and abdomen.


... and by the following:
3
Possible Hepatitis

The hepatitis C virus ranks with alcohol as the major cause of chronic liver disease and cirrhosis in the United States.  Infection with this virus causes inflammation of and low grade damage to the liver that over several decades can lead to cirrhosis.

Hepatitis B is probably the most common cause of cirrhosis worldwide, but in the United States and Western world it is less common.  Hepatitis B, like hepatitis C, causes liver inflammation and injury that over several decades can lead to cirrhosis.

The hepatitis D virus is another virus that infects the liver, but only in people who already have hepatitis B.

4
Pronounced Jaundice

Jaundice is a yellowing of the skin and eyes that occurs when the diseased liver does not process enough bilirubin.

5
(Less likely) Ulcerative Colitis

Cirrhosis of the liver can occur when the immune system triggers inflammation there as a result of ulcerative colitis.

6
Moderate risk of Gallbladder Disease

If cirrhosis prevents bile from reaching the gallbladder, a person may develop gallstones as a result.

7
Possible Weakened Immune System

Cirrhosis can cause immune system dysfunction leading to infection.

8
(Less likely) Hemochromatosis (Iron overload)

Cirrhosis is the most common severe consequence of hemochromatosis.

9
Poor Memory

A damaged liver cannot remove toxins from the blood, causing them to accumulate in the blood and eventually the brain.  Once there, toxins can dull mental functioning and cause personality changes, coma, or even death.  Signs of toxin buildup in the brain include neglect of personal appearance, unresponsiveness, forgetfulness, trouble concentrating, or changes in sleep habits.


Cirrhosis of the Liver is counter-indicated by the following:
-1
Frequent aspirin use

A study published on November 28th, 2012 in the Journal of the National Cancer Institute showed that those who used aspirin saw a 45% reduction in the risk of death from chronic liver disease.  The study followed 300,000 people aged between 51 and 70 for between 10 and 12 years.  Those who took other types of NSAIDs had a 26% lower chance of dying from chronic liver disease, but had no corresponding reduction in the risk of liver cancer.

Secondary Condition 2 of 13    Return to Main Condition Summary ↑

Condition: Iron Deficiency Anemia (confirmed)

Iron deficiency anemia is the most common form of anemia.  Iron is an essential component of the hemoglobin molecule: without iron the bone marrow is unable to produce hemoglobin.  The red cell count falls and those which do enter circulation are smaller than normal (microcytic) and lacking in hemoglobin, hence they are pale (hypochromic).

→ Read full details and recommendations
Iron Deficiency Anemia is indicated by what you have told us:
1
Iron deficiency anemia
2
Poor cold weather tolerance

... and by the following:
3
(Less likely) Ulcerative Colitis
4
Dry Mouth
5
(Less likely) Crohn's Disease
6
(Less likely) Gastrointestinal Bleeding

People with long-term bleeding that tends to occur in small amounts or intermittently may develop symptoms of anemia, such as tiring easily and looking unnaturally pale.

7
Dizziness
Secondary Condition 3 of 13    Return to Main Condition Summary ↑

Kidney Stones (Urolithiasis)

Kidney stones are painful urinary disorders that start as salt/chemical crystals which precipitate out from urine.  Under normal circumstances, the urine contains substances that prevent crystallization but for patients with this condition, these inhibitory substances are ineffective.  Tiny crystals will pass out along with the urinary flow without causing problems.  At least 1% of people will pass a kidney stone during their lifetime, producing some of the most severe pain possible.

→ Read full details and recommendations
Kidney Stones (Urolithiasis) is indicated by what you have told us:
1
Kidney stones in family members

There is a strong familial predisposition to kidney stones.

2
Chronic night sweats
3
Mild hypogastric discomfort

Kidney stones are characterized by (often extreme) pain at the site where the stone is causing irritation i.e. back and sides of the abdomen, lower front of the abdomen and groin area.

4
Inguinal pain
5
Being male

Kidney stone disease is a little more common in males and usually in those aged between 20 and 40.

6
Discontinued diuretic use

Excessive intake of diuretics may give rise to excess calcium in the urine.


... and by the following:
7
Night Sweats
8
(Less likely) Ulcerative Colitis

When the immune system triggers inflammation in other parts of the body because of ulcerative colitis, kidney stones may result.  This influence is usually mild and stones may not be a problem once the colitis is treated.

Secondary Condition 4 of 13    Return to Main Condition Summary ↑

Elevated Insulin Levels

Chronic exposure to refined carbohydrates and simple sugars can cause elevated levels of insulin, which drives glucose levels down.  This can result in hypoglycemia (low blood sugar).  Over time, tissues may become less sensitive to insulin and as a result glucose cannot enter the cells as easily.  This means more glucose in the bloodstream and a greater tendency to convert it into fat instead of energy.  Elevated insulin levels (hyperinsulinemia) cause the body to have difficulty breaking down fat also.

→ Read full details and recommendations
Elevated Insulin Levels is indicated by what you have told us:
1
High diastolic blood pressure
2
High systolic blood pressure

... and by the following:
3
Significant Stress

One of cortisol's undesirable effects is that it contributes to insulin resistance by decreasing the rate of glucose uptake, probably by blocking the insulin receptor.  [J Clin endocrinol Metab 54 (1982): pp.131-8]

4
Possible Lack of Sleep

A study found that people who do not get enough sleep on a regular basis may become less sensitive to insulin which, over time, can raise the risk of obesity, high blood pressure and diabetes.  Chronic sleep deprivation (under 6.5 hours per night) had the same effect on insulin resistance as aging.

Secondary Condition 5 of 13    Return to Main Condition Summary ↑

Increased Risk of Enlarged Prostate

53% likelihood
12% concern level
Top recommendations

By the age of fifty, about 30% of men will start to experience difficulties with urination related to enlargement of the prostate gland, also known as benign prostatic hypertrophy (BPH).  These symptoms often lead to an increased sense of frustration and embarrassment, as well as the disruption of normal activities.

→ Read full details and recommendations
Increased Risk of Enlarged Prostate is indicated by what you have told us:
1
Being in your 60s

Nearly 60% of men between the ages of 40 and 59 have an enlarged prostate gland.  Problems associated with this condition usually continue to worsen with age, increasing in incidence to almost 80% of males past the age of seventy.  Most physicians consider this to be a normal consequence of aging.


... and by the following:
2
Nocturia
Secondary Condition 6 of 13    Return to Main Condition Summary ↑

Condition: Liver Detoxification / Support Requirement

54% likelihood
12% concern level
Top recommendations

Hampered detoxification processes can result in a condition labeled by many naturopathic and nutrition-oriented physicians as the "congested" or "sluggish" liver, or the more recently coined "impaired hepatic detoxification".  Standard liver enzyme blood tests may or may not be elevated in such cases.

→ Read full details and recommendations
Liver Detoxification / Support Requirement is indicated by what you have told us:
1
Joint pain/swelling/stiffness
2
Regular nightmares
3
Negative reaction to coffee
4
Hemorrhoids

If the liver is too congested, blood may not flow easily back to the liver through the hemorrhoidal veins and this might cause swelling of a weakened vein.

5
Fatty food intolerance
6
High cigarette smoke sensitivity

No one really is allergic to smoke.  Many people insist that they are allergic to smoke created by cigarettes or cigars, but the truth is that they have having an allergy-like reaction due to other health complications.

7
Anal itching
8
Allergy to chemicals

... and by the following:
9
Pronounced Jaundice
10
Confirmed Yeast / Candida Infection
11
Night Sweats
12
(Less likely) Chronic Fatigue / Fibromyalgia Syndrome

In one evaluation of 200 Chronic Fatigue and Fibromyalgia patients it was found that 80% had a significant impairment of liver detoxification function.

Patients suffering from toxic burdens may experience a wide range of symptoms, among them fatigue and poor tolerance for exercise.  These processes have been postulated to be a central factor in the development of CFS.  Oxidative damage to mitochondria and the detoxification process itself is being considered as a fundamental mechanism in the development of CFS.  [1 Bland JS, HealthComm Inc., 1997; Int Clin Nutr Rev 1988;8(4): pp.173-5]

13
Dandruff
14
Night Blindness

Reduced night vision can be linked to a variety of conditions caused by impaired liver function which in turn reduces vitamin A metabolism.

15
Slight Edema (Water Retention)
Secondary Condition 7 of 13    Return to Main Condition Summary ↑

Condition: Ulcerative Colitis

This disease typically begins in the sigmoid colon and/or rectum, and then usually progresses until the entire colon is affected.  Ulcerative colitis involves only the colonic mucosa, and the lesions are uniform and continuous with no areas of normal tissue interspersed between the diseased mucosa.

→ Read full details and recommendations
Ulcerative Colitis is indicated by what you have told us:
1
Significant amounts of occult blood
2
Significant abdominal pain
3
Joint pain/swelling/stiffness
4
Mild hypogastric discomfort
5
Excessive flatulence

... and by the following:
6
Significant Stress

Long term stress increases the risk of Ulcerative Colitis flare-ups, according to a study by Susan Levenstein, MD, at the Nuovo Regina Margherita Hospital in Rome.  [American Journal of Gastroenterology, May 2000]

Secondary Condition 8 of 13    Return to Main Condition Summary ↑

Condition: Magnesium Requirement

47% likelihood
11% concern level
Top recommendations

Magnesium is a mineral needed by every cell of your body.  About half of your body's magnesium stores are found inside cells of body tissues and organs, and half are combined with calcium and phosphorus in bone.  Only 1% is found in the blood.  Your body works very hard to keep blood levels of magnesium constant.

→ Read full details and recommendations
Magnesium Requirement is indicated by what you have told us:
1
Occasional confusion/disorientation
2
Numb/burning/tingling extremities

... and by the following:
3
Significant Stress

Stress may increase magnesium excretion.

4
Possible Diabetes Type II

Hypomagnesemia has been demonstrated in both insulin-dependent and non-insulin-dependent diabetic patients.  A low intake of magnesium, which is a common deficiency, has been associated with insulin resistance and diabetes in several studies.  Magnesium deficiency in diabetes is most likely the result of increased urinary magnesium losses secondary to chronic glycosuria.  However, short-term improvement in glycemic control has not been shown to restore the serum magnesium level.  Long-term studies may be needed to resolve this discrepancy.

5
Confirmed Yeast / Candida Infection
6
Possible Liver Detoxification / Support Requirement

Magnesium deficiency has been found to be more common in patients with diabetes, liver disease or malabsorption problems.

7
Moderate Arrhythmias/Dysrhythmias

Myocardial magnesium was measured in 8 young patients (mean age 32) with ventricular tachycardia of less than 30 seconds in duration who underwent endomyocardial biopsy.  Myocardial magnesium content was lower in the 4 with cardiomyopathic and dysplastic lesions than in the 4 with inflammatory lesions (myocarditis) and 8 controls.  10gm magnesium over 24 hours caused a resolution of ventricular tachycardias and a greater than 80% reduction in ventricular extrasystoles.  No response was seen in the 4 patients with inflammatory lesions.  [Lancet: 1019, 1987]

8
Confirmed Bruxism (Clenching/Grinding Teeth)

According to Ploceniak, prolonged magnesium administration nearly always provides a cure for bruxism.  This confirms an earlier report which claimed remarkable reductions and sometimes disappearance in the frequency and duration of grinding episodes in six patients who took assorted vitamins and minerals (which included 100mg of magnesium) for at least five weeks.  When the supplement intake stopped, the symptoms returned.  [Bruxism and Magnesium, My Clinical Experiences Since 1980, by C.  Ploceniak (Translated from the French by James Michels)]

9
Muscle Cramps / Twitching

Early symptoms of magnesium deficiency can include fatigue, anorexia, irritability, insomnia, and muscle tremors or twitching.  Many cases of muscle cramps are caused by low concentrations of magnesium.  [Muscle cramps and magnesium deficiency: case reports.  Canadian Family Physician.  July 1996: 42; pp.1348-1351]

10
Poor Memory

Magnesium Requirement is counter-indicated by the following:
-1
Multiple mineral supplement use
Secondary Condition 9 of 13    Return to Main Condition Summary ↑

Prostate Cancer

10% likelihood
10% concern level
Top recommendations

Prostate cancer is the second most common cancer in men, after lung cancer, and mainly affects older men.  Caught at an early stage, there is a good chance it can be cured, with treatments tailored to the individual patient and his particular cancer.

→ Read full details and recommendations
Prostate Cancer is indicated by what you have told us:
1
African ethnicity

African-Americans have higher rates of diabetes, prostate cancer, hypertension and coronary heart disease than whites.


... and by the following:
2
Erectile Dysfunction (ED, Impotence)

A cancerous prostate gland may interfere with blood flow and nerve impulses to the penis.  That can cause ED; impotence can be one of the signs of prostate cancer.

3
Nocturia
Secondary Condition 10 of 13    Return to Main Condition Summary ↑

Condition: Gluten Sensitivity / Celiac Disease

33% likelihood
10% concern level
Top recommendations

Alternative Names: Also classified as a disease of nutrient malabsorption, celiac disease is also known as celiac sprue, nontropical sprue and gluten-sensitive enteropathy.

Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food.  People who have celiac disease cannot tolerate a protein called gluten (or a gluten fraction called gliadin), which is found in wheat, rye, barley, and possibly oats.

→ Read full details and recommendations
Gluten Sensitivity / Celiac Disease is indicated by what you have told us:
1
Bowel movement changes
2
Significant abdominal pain
3
Joint pain/swelling/stiffness
4
Offensive-smelling stool
5
Strong appetite
6
Excessive flatulence
7
Regular postprandial somnolence

... and by the following:
8
Possible Hepatitis

Celiac disease has long been recognized as a cause of chronic liver pathology.  [Lancet 1977;2(8032): pp.270-2]

9
Possible Osteoporosis - Osteopenia

A study concluded that reduced mineralization occurs even in asymptomatic celiac patients, and that early diagnosis and treatment can prevent bone demineralization.  [Am J Gastroenterol 1994;89: pp.2130-4]

10
Confirmed Yeast / Candida Infection

Genetic disorders such as celiac disease or hemochromatosis can cause Candida overgrowth.

11
Confirmed Iron Deficiency Anemia

Anemia is a frequent presentation of celiac disease.  In one study, 200 consecutive patients of a hematology clinic were screened for antigliadin and antiendomysial antibodies.  Patients with both positive titers underwent intestinal biopsy, and in 10 patients (5%), results were positive for celiac disease.  The prevalence increased to 8.5% if the patients with macrocytic anemia and the patients with bleeding who responded to iron therapy were excluded.

12
(Less likely) Sjogren's Syndrome

Many Celiac Disease patients report they also have Sjogren's Syndrome, and vice versa.  Sjogren's Syndrome has been reported in up to 15% of patients with proven Celiac Disease.

13
(Less likely) Rheumatoid Arthritis

People with Rheumatoid Arthritis have a higher risk of also being diagnosed with Celiac Disease.

14
(Less likely) Lupus, SLE (Systemic Lupus Erythematosus)

Some patients diagnosed SLE may in fact be suffering the results of gluten intolerance.  In these cases, removing gluten from the diet may completely cure the patient.  [Annals of the Rheumatic Diseases (2004; 63: pp1501-3)]

15
Muscle Cramps / Twitching
Secondary Condition 11 of 13    Return to Main Condition Summary ↑

Increased Risk of Gallbladder Disease

Alternative Names: Gallstones, Cholecystitis

Gallstones are by far the most common type of gallbladder disease, and the gallbladder operation is the most common operation in North America.  Every year, more than half a million people in the United States and more than 50,000 people in Canada undergo surgery to remove their gallbladders because of gallstones.  90% of people have gallstones; 80% of people do not know that they have gallstones.  50% of children have gallstones.  Approximately 80% of all gallstones show no symptoms and may remain "silent" for years.

→ Read full details and recommendations
Increased Risk of Gallbladder Disease is indicated by what you have told us:
1
Being in your 60s

A recent estimate suggests that the majority of people over 60 years of age have gallstones.

2
Significant epigastric pain

A large meal may trigger the pain, but studies have not shown any direct dietary connection; the pain can develop without any apparent cause.

3
Egg consumption
4
Frequent meal-related burping

... and by the following:
5
Pronounced Jaundice
6
Moderate Dyspepsia / Poor Digestion

Increased Risk of Gallbladder Disease is counter-indicated by the following:
-1
Confirmed absence of gallstones
Secondary Condition 12 of 13    Return to Main Condition Summary ↑

Condition: Iron Requirement (confirmed)

100% confirmed
10% concern level
Top recommendations

A deficiency of iron can occur in the body for a variety of reasons, such as inadequate intake, poor absorption (for example chronic diarrhoea or malabsorption syndrome), increased iron demands (as in pregnancy) and abnormal loss of blood from the body (for example hookworm, gastric ulcers and frequent or excessive menstruation).  Anemia is the most common form of iron deficiency.

→ Read full details and recommendations
Iron Requirement is indicated by what you have told us:
1
Slight tongue soreness
2
Brittle fingernails

A deficiency of essential nutrients and minerals such as iron, zinc, vitamins and calcium can cause the nails to become weak.

3
Being in your 60s

Infants, women of childbearing age, and the elderly are most likely to suffer from an iron deficiency.


... and by the following:
4
Confirmed Iron Deficiency Anemia
5
Possible Weakened Immune System
6
Male Hair Loss

Iron deficiency anemia can in some cases contribute to hair loss.

Secondary Condition 13 of 13    Return to Main Condition Summary ↑

Recommendations by The Analyst™

Below are details of recommendations by The Analyst™ that may do you the most overall good, with the most useful shown first.  For each recommendation you can read:

What do the bullets mean?

1
2
3
4
Condition or Risk Factor that may benefit from this recommendation, color-coded to reflect Level of Concern.
X
Reason against following this recommendation.

Instead of reading through this large section of your report, we suggest returning to the graphical summary above and clicking on items of interest there, which will take you to their specific details below.

Recommendation: Aerobic Exercise

87% - Important

Aerobic exercise is any activity that uses large muscle groups, can be maintained continuously, and is rhythmic in nature.  It is a type of exercise that overloads the heart and lungs and causes them to work harder than at rest.  The benefits of aerobic exercise can be yours today if you simply get up and get moving – life is motion!

→ Read full details
Despite an overall recommendation for Aerobic Exercise, there is a reason against it:
X
Confirmed Heartburn / GERD / Acid Reflux

Heartburn is more frequent when exercising within 2 hours of eating.


Aerobic Exercise is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

A sedentary lifestyle of physical inactivity is almost as great a risk factor for heart disease as smoking because of diminished circulation and weight gain.

Research has shown that even moderate exercise can substantially reduce the incidence of coronary events.  Aerobic exercise reduces cardiac risk by lowering LDL- and raising HDL-cholesterol levels, and by reducing blood pressure, body fat, blood sugar, mental stress, and blood clotting.  Exercise also improves the heart's pumping ability, greatly enhancing the body's functional capacity and stamina.

It is never too late to start.  Healthy people who begin exercising after age 45 can reduce their death rate by 23%, and even patients who have already had heart attacks can use medically-supervised aerobic exercise to reduce their risk of another heart attack by up to 25%.

2
Probable Hypertension (High Blood Pressure)

One study of 6,000 healthy adults found a 52% increased risk for hypertension in sedentary individuals compared to those who were fit, while another study found a 35% increase.

3
Confirmed Atherosclerosis

Regular aerobic exercise lowers fibrinogen levels – a risk factor for atherosclerosis of equal or greater predictive value than cholesterol.  Additionally, exercise improves the production of nitric oxide within the blood vessel wall, which should limit the progression of atherosclerosis.  Exercise improves the fitness of the heart as well as circulation.

4
Significant Stress

Regular exercise can help reduce elevated levels of hormones (such as cortisol) that are associated with chronic stress.

5
Possible Diabetes Type II

Aerobic exercise reduces the risk of diabetes and improves the diabetic condition through several different mechanisms.

6
(Less likely) Colon Cancer

Try to get at least 30 minutes of physical activity every day.

7
Possible Gastric/Peptic/Duodenal Ulcers

Active men had one-half to one-third the risk of developing a duodenal ulcer over 20 years compared with their sedentary counterparts.  Men who walked or ran at least 10 miles per week were 62% less likely than inactive subjects to develop an ulcer.  Men who walked or ran less than 10 miles each week had about half the ulcer risk of those with no regular exercise.

8
Herpes Simplex Type I

A healthy immune system may be important in controlling the virus, so proper nutrition, exercise and rest is recommended.

9
(Less likely) Alzheimer's Disease

Stay physically active.  Patients with Alzheimer's disease have been found to have had lower levels of physical activity earlier in life.  Those who exercised regularly throughout life were less likely to contract the disease than those who were inactive.  Doctors caution that exercise does not guarantee immunity.

10
Moderate risk of General Detoxification Requirement
11
Possible Osteoporosis - Osteopenia

Physical activity may help reduce fracture risk by enhancing bone strength and improving bone quality.  Exercise strengthens bones.

12
Confirmed Angina

A carefully graded, progressive, aerobic exercise program (30 minutes 3 times per week) is a necessity.  Walking is a good exercise with which to start.  Since angina is known to be exacerbated by physical exertion following a meal, give your body at least one and a half hours after a meal before exercising.

13
Possible Senile Dementia
14
Confirmed Tinnitus

Regular exercise may help increase blood circulation to the head and thus reduce the symptoms of tinnitus if it is caused by poor circulation.

15
Possible Hypoglycemia

Moderate exercise improves glucose metabolism.  Those few individuals who find that strenuous or prolonged exercise causes hypoglycemia should take food at the earliest opportunity.

16
Possible Elevated Insulin Levels
17
(Less likely) Prostate Cancer

A 14-year study by a team from the Harvard School of Public Health found that men over 65 who worked out vigorously for at least three hours a week had an almost 70% lower risk of advanced and fatal cases of prostate cancer.  The 47,620 men involved in the study were followed from 1986 to 2000.

18
Moderate risk of Gallbladder Disease

Studies have shown that the more physically active one is, the lower one's risk of gallstone formation.  One study indicated that men who performed endurance-type exercise (such as jogging and running, racquet sports, and brisk walking) for thirty minutes five times per week reduced their risk for gallbladder disease by up to 34%.  The benefit depended more on the intensity of activity than the type of exercise.  Some researchers guess that in addition to controlling weight, exercise helps normalize blood sugar levels and insulin levels, which, if abnormal, may contribute to gallstones.

Recommendation 1 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Plant-Based Nutrition

78% - Important

A vegetarian diet has been advocated by everyone from philosophers such as Plato and Nietzsche, to political leaders such as Benjamin Franklin and Gandhi, to modern pop icons such as Paul McCartney and Bob Marley.  Science is also on the side of vegetarianism.  A multitude of studies have proven the health benefits of a vegetarian diet to be remarkable.

→ Read full details
Continued Plant-Based Nutrition is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Fruits and vegetables contain antioxidant substances, such as vitamin C, vitamin E, and carotenoids, which protect cells against oxidative damage, which is related to cancer risk and other health problems.[1] The multitude of phytochemicals found in various fruits, vegetables, grains, legumes, and nuts are thought to protect against heart disease and cancer.[2]

  1. Jacob RA, Burri BJ.  Oxidative damage and defense.  Am J Clin Nutr 1996;63:985S-90S
  2. Craig WJ.  Phytochemicals: guardians of our health.  J Am Diet Assoc 1997;97:S199-S204
2
Probable Hypertension (High Blood Pressure)

The prevalence of hypertension among vegetarians is about one-third to one-half that of non-vegetarians [1-3].  A study of Caucasian Seventh-day Adventists found hypertension in 22% of omnivores, but only 7% of vegetarians.  Among African Americans, the prevalence was 44% of omnivores and 18% of vegetarians [3].  Adopting a vegetarian diet significantly lowers blood pressure in both normal and hypertensive individuals [4-8].

  1. Ophir O, Peer G, Gilad J, Blum M, Aviram A.  Low blood pressure in vegetarians: the possible role of potassium.  Am J Clin Nutr 1983;37: pp.755-62
  2. Melby CL, Hyner GC, Zoog B.  blood pressure in vegetarians and non-vegetarians: a cross-sectional analysis.  Nutr Res 1985;5: pp.1077-82
  3. Melby CL, Goldflies DG, Hyner GC, Lyle RM.  Relation between vegetarian/nonvegetarian diets and blood pressure in black and white adults.  Am J Publ Health 1989;79: pp.1283-8
  4. Rouse IL, Armstrong BK, Beilin LJ, Vandongen R.  Blood-pressure-lowering effect of a vegetarian diet: controlled trial in normotensive subjects.  Lancet 1983;1: pp.5-10
  5. Rouse IL, Belin LJ, Mahoney DP, et al.  Nutrient intake, blood pressure, serum and urinary prostaglandins and serum thromboxane B2 in a controlled trial with a lacto-ovo-vegetarian diet.  J Hypertension 1986;4: pp.241-50
  6. Margetts BM, Beilin LJ, Armstrong BK, Vandongen R.  A randomized controlled trial of a vegetarian diet in the treatment of mild hypertension.  Clin Exp Pharmacol Physiol 1985:12: pp.263-6
  7. Margetts BM, Beilin LJ, Vandongen R, Armstrong BK.  Vegetarian diet in mild hypertension: a randomized controlled trial.  Br Med J 1986;293: pp.1468-71
  8. Lindahl O, Lindwall L, Spangberg A, Stenram A, Ockerman PA.  A vegan regimen with reduced medication in the treatment of hypertension.  Br J Nutr 1984;52: pp.11-20
3
Moderate risk of Stroke

A low incidence of cerebrovascular disease was associated with geographical regions where fresh fruit and vegetable consumption (and therefore increased potassium) was high.  [Low fruits and vegetables, high-meat diet increase cerebrovascular event risk.  Medical Tribune March 10, 1997:26]

4
Confirmed Atherosclerosis

A low-fat, low-cholesterol diet is recommended, as is an increase fiber (especially water-soluble fibers), fruits, vegetables, and vegetarian sources of protein.

5
Confirmed Heartburn / GERD / Acid Reflux

Eating a low-fat plant-based diet in small frequent meals is one of the best ways to reduce heartburn.

6
Possible Cancer, General

"35 percent of cancer deaths may be related to diet." [The National Cancer Institute booklet "Diet, Nutrition, & Cancer Prevention: A Guide to Food Choices"]

Cancer rates for vegetarians are 25 to 50% below population averages, even after controlling for smoking, body mass index, and socioeconomic status.[1,2] Vegans show even better results.  One study found that people who include generous amounts of fruits and vegetables in their daily diets have lower rates of cancers of the lung, breast, colon, bladder, stomach, mouth, larynx, esophagus, pancreas, and cervix compared to people who avoid such foods.[3]

Fruits and vegetables contain antioxidant substances, such as vitamin C, vitamin E, and carotenoids, which protect cells against oxidative damage, which is related to cancer risk and other health problems.[4] The multitude of phytochemicals found in various fruits, vegetables, grains, legumes, and nuts are thought to protect against heart disease and cancer.[5]

  1. Chang-Claude J, Frentzel-Beyme R, Eilber U.  Mortality pattern of German vegetarians after 11 years of follow-up.  Epidemiology 1992;3:395-401
  2. Thorogood M, Mann J, Appleby P, McPherson K.  Risk of death from cancer and ischemic heart disease in meat and non-meat eaters.  Brit Med J 1994;308:1667-70
  3. Block G.  Epidemiologic evidence regarding vitamin C and cancer.  Am J Clin Nutr 1991;54:1310S-4S
  4. Jacob RA, Burri BJ.  Oxidative damage and defense.  Am J Clin Nutr 1996;63:985S-90S
  5. Craig WJ.  Phytochemicals: guardians of our health.  J Am Diet Assoc 1997;97:S199-S204
7
Possible Hepatitis

A more vegetarian diet is naturally lower in saturated fats (meat and dairy products) and higher in grains, vegetables, fruits, vegetable proteins (legumes such as soy), and essential fatty acids (cold-water fish, nuts, and seeds) that are all recommended for Hepatitis.  Foods that support the liver are beets, artichokes, yams, onions, garlic, green leafy vegetables, apples, and lemons.

8
Possible Diabetes Type II

(Reuters, July 27, 2006) "People who ate a low-fat vegan diet, cutting out all meat and dairy, lowered their blood sugar more and lost more weight than people on a standard American Diabetes Association diet... They lowered their cholesterol more and ended up with better kidney function, according to the report published in Diabetes Care, a journal published by the American Diabetes Association."

Dr. Neal Barnard's team and colleagues at George Washington University, the University of Toronto and the University of North Carolina tested 99 people with type-2 diabetes, assigning them randomly to either a low-fat, low-sugar vegan diet or the standard American Diabetes Association diet.  After 22 weeks on the diet, 43% of those on the vegan diet and 26% of those on the standard diet were either able to stop taking some of their drugs such as insulin or glucose-control medications, or lowered the doses.  The vegan dieters lost 14 pounds (6.5 kg) on average while the diabetes association dieters lost 6.8 pounds (3.1 kg).  An important level of glucose control called a1c fell on average by 1.23 points in the vegan group and by 0.38 in the group on the standard diet.

9
(Less likely) Colon Cancer

Diets high in fiber-rich foods may reduce the risk of cancers of the colon and rectum.  [The National Cancer Institute booklet "Diet, Nutrition, & Cancer Prevention: A Guide to Food Choices"]

10
Possible Osteoporosis - Osteopenia

Reduce animal protein consumption.  For a variety of reasons, animal protein causes severe bone deterioration.

A study published in the January, 2001 edition of the American Journal of Clinical Nutrition examined the diets of 1,035 women, particularly focusing on the protein intake from animal and vegetable products.  Deborah Sellmeyer, M.D., found that animal protein increases bone loss.  In her study, women with a high animal-to-vegetable protein ratio experienced an increased rate of femoral neck bone loss.  A high animal-to-vegetable protein ratio was also associated with an increased risk of hip fracture.  Dr. Sellmeyer states: "Sulfur-containing amino acids in protein-containing foods are metabolized to sulfuric acid.  Animal foods provide predominantly acid precursors.  Acidosis stimulates osteoclastic activity and inhibits osteoblast activity."

A 1994 report in the American Journal of Clinical Nutrition showed that when volunteers are switched from a typical American diet to a diet eliminating animal proteins, calcium losses were reduced to less than half of baseline values.  [Remer T, Manz F.  Estimation of the renal net acid excretion by adults consuming diets containing variable amounts of protein.  Am Clin Nutr 1994;59:1356-61]

11
Moderate risk of Gallbladder Disease

In a study published in the British Medical Journal, it was shown that vegetarian women had a much lower incidence of gallstones than non-vegetarian women.  Of the 632 non-vegetarians, overall occurrence of gallstones was 25%.  Vegetarians had only half as many gallstone problems, with 12% being found to have gallstones.

Recommendation 2 of 30    Return to Recommendation Summary ↑

Recommendation: Continued High/Increased Fiber Diet

78% - Important

Diet is a major factor in 5 of the 10 leading causes of death: heart disease, cancer, stroke, diabetes mellitus, and atherosclerosis.  These diseases account for 70% of all deaths in the United States.  Over half the calories consumed in this country are from refined foods, from which the bran, germ, and oil have been removed.  The average intake of fiber is only 11gm per day, compared to the daily recommended intake of 20 to 30gm.  Fiber is important in the prevention of constipation, diverticulosis, colon polyps, varicose veins, hemorrhoids, appendicitis, hiatal hernia, peptic ulcer disease and probably colon cancer.

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Despite an overall recommendation for High/Increased Fiber Diet, there is a reason against it:
X
Probable Adequate Fiber Intake

Continued High/Increased Fiber Diet is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

A high-fiber diet, particularly one that is high in water-soluble fiber (such as fruit), is associated with decreased risk of both fatal and nonfatal heart attacks, probably because presence of such fiber is known to lower cholesterol.  Numerous studies have linked diets rich in fiber with low levels of cholesterol.  In particular, soluble fiber alters and lowers fat and cholesterol absorption in the large bowel, helping to reduce LDL, the 'bad' cholesterol.

Fiber-rich foods are also good sources of phytochemicals and anti-oxidants that help to lower the risk for heart disease.  Blood pressure, a major heart disease risk factor, may also be reduced by eating diet rich in fiber, further helping to reduce the risk of heart disease.

Making positive dietary changes immediately following a heart attack is likely to decrease one's chance of having a second heart attack.  In one study, individuals began eating more vegetables and fruits, and substituted fish, nuts, and legumes for meat and eggs 24 to 48 hours after a heart attack.  Six weeks later, the diet group had significantly fewer fatal and nonfatal heart attacks than a similar group that did not make these dietary changes.  This trend continued for an additional six weeks.

2
Probable Hypertension (High Blood Pressure)

A study suggests that oatmeal can improve blood pressure and reduce drug costs for 60 million hypertensive Americans.  The study found that 73% of participants, each of whom who ate oat cereal daily for 12 weeks, were able to reduce or eliminate their need for blood pressure medication.  Consumption of high-fiber cereals is an easy and simple way for a person to increase total and soluble fiber intakes, thus helping to reach the dietary fiber goal of 25-30gm per day.  [Preventive Medicine in Managed Care; March 1, 2002]

3
Confirmed Atherosclerosis
4
Confirmed IBS (Irritable Bowel Syndrome)

Dietary fiber may lessen IBS symptoms in many cases.  High-fiber diets may cause gas and bloating, but within a few weeks these symptoms often go away as the body adjusts to the diet: IBS can be treated in most cases simply by increasing the intake of dietary fiber and eliminating food allergies.

The synthetic polymers methylcellulose and polycarbophil have been found to be the most effective fibers or bulk-forming laxatives for use in the treatment of Irritable Bowel Syndrome (IBS).  Neither are found naturally in food sources.  Methylcellulose is used as a food additive/thickener.  Both are available over the counter in commercial products such as Citrucel (methylcellulose) and Fibercon (polycarbophil), among others.

5
Possible Cancer, General

The Canadian Cancer Society recommends a higher fiber and lower fat diet to help lower the risk of cancer, especially colon and rectal cancers.  Diets high in fiber are also rich in anti-cancer compounds such as anti-oxidants and phytochemicals found in fruits, vegetables and whole grains.

6
Possible Diabetes Type II

Research has shown that fiber helps to stabilize and lower blood sugar levels.  Both soluble and insoluble fibers delay the emptying of food from the stomach, slow the absorption of glucose into the bloodstream, and thus moderate insulin levels.  A diet high in complex carbohydrates and fiber helps increase tissue sensitivity to insulin, and a diet high in fiber-rich foods should also help those with diabetes to lose and maintain a healthy body weight.

Any form of fiber will be beneficial, so choose those that you most easily tolerate.  When soluble fiber ferments during digestion it produces 'short chain fatty acids' that increase the metabolism of glucose and thus may add to the beneficial effects of dietary fiber on diabetes.

7
(Less likely) Colon Cancer

The Canadian Cancer Society recommends a higher fiber and lower fat diet to help lower the risk of cancer, especially colon and rectal cancers.

8
Possible Mercury Toxicity (Amalgam Illness)

Sodium alginate as well as other gel-forming fibers have been shown to inhibit heavy metal uptake in the gut.

9
Confirmed Hemorrhoids

Both soluble and insoluble fibers are important in helping to maintain regular bowel movements.  Insoluble fiber prevents and manages problems like constipation and hemorrhoids by producing a larger softer stool that passes through the digestive system faster and more easily.

10
Possible Hypoglycemia

Soluble fiber delays gastric emptying, slows glucose absorption, and minimizes blood glucose swings.

11
(Less likely) Ulcerative Colitis

Approach a high fiber diet cautiously during periods of inflammation, as it may aggravate the condition.  As you stabilize, fiber and unrefined foods are important to continue the health of the colon.

A study found Plantago ovata seed (the whole psyllium seed, not just the husk) at 10gm bid to be as effective as the drug mesalamine for maintaining remission in patients with ulcerative colitis.  In addition, the Plantago ovata seed may help prevent colon cancer, a common complication of ulcerative colitis, because it increases colonic butyrate levels.

12
Moderate risk of Gallbladder Disease

Dietary fiber from cellulose (soluble fiber) clearly reduces the risk of gallstone formation.

Recommendation 3 of 30    Return to Recommendation Summary ↑

Recommendation: Vitamin C (Ascorbic Acid)

74% - Recommended

Alternative Names: Ascorbic Acid.

Vitamin C use has been an alternative therapy for many years.  Many doctors do not hesitate to recommend doses of 1 to 5gm or more per day.  The Third National Health and Nutrition Survey, also called NHANES III, showed that 11% of nonsmoking women and 21% of nonsmoking men in the United States do not get enough vitamin C.

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Despite an overall recommendation for Vitamin C (Ascorbic Acid), there is a reason against it:
X
Probable lack of Vitamin C Requirement

Vitamin C (Ascorbic Acid) is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Supplemental vitamin C can help heal injured arteries when used with L-lysine and proline for plaque prevention and possibly removal.  A typical prescription would be 3-6gm vitamin C, 3-6gm lysine and 0.5-2gm proline.  Furthermore, vitamin C deficiency (as indicated by low plasma ascorbate concentration) is a known risk factor for coronary heart disease.

One year of supplementation with vitamin C (500mg bid) and vitamin E (400 IU bid) retarded the early progression of transplant-associated coronary arteriosclerosis in a study of 40 patients up to 2 years after cardiac transplantation.  [Lancet 2002;359(9312): pp.1108-13]

Vitamin C treatment has a possible role in benefiting patients with coronary heart disease by countering the adverse effects of a high-fat meal.  Researchers found that postprandial serum triglyceride concentration increased significantly at 2-5 hours after a high-fat meal in all groups.  The postprandial flow-mediated dilatation was significantly aggravated in people not taking vitamin C (both with and without heart disease), but this parameter in patients and subjects taking vitamin C showed no significant change.  [Clin Cardiol 2002;25: pp.219-224]

2
Probable Hypertension (High Blood Pressure)

A 1999 study found that in systolic and diastolic hypertension as well as elevated pulse rate, blood plasma vitamin C levels were reduced.

3
Confirmed Atherosclerosis

Dosage: 1,000mg tid.

4
Possible Hepatitis

Vitamin C (1,000 to 1,500mg per day), beta-carotene (100,000 IU per day), vitamin E (400 to 800 IU per day), and zinc (30 to 50mg per day) strengthen your immune system.

5
Significant Stress
6
Possible Diabetes Type II

Dr. Fred Klenner, MD has used large amounts of Vitamin C for many ailments, and says that diabetics are so deficient they should be considered as having scurvy.  10gm per day, according to Dr. Klenner, cures many diabetics and enhances their well being in other cases.

7
Herpes Simplex Type I

Vitamin C, zinc, thymus extracts, TMG, monolaurin from coconut, and olive leaf extract have all been used with some success as reported by various doctors.

8
(Less likely) Alzheimer's Disease

Both vitamin E and vitamin C supplements reduced the incidence of Alzheimer's disease in a 1998 study.  This study followed 655 individuals over 65 years of age for an average of over 4 years.  The anticipated rate of Alzheimer's did not occur in those individuals taking larger amounts of either vitamin.  The lower levels of vitamin C and E found in some supplements did not provide this protection in this study.  A reasonable protective benefit could be expected with 400 IU of vitamin E or 500mg or more of vitamin C.  [Alzheimer Dis.  Assoc.  Disord.1998:12(3): pp.121-126]

9
Confirmed Yeast / Candida Infection

One Osteopath (DO) is known to use intravenous vitamin C followed by intravenous flagyl with good results for candidal overgrowth.

10
Confirmed Iron Deficiency Anemia

It has been well established that better iron absorption occurs from both plant and animal sources when vitamin C is taken at the same time, whether from foods or as a supplement.  75mg of vitamin C in a meal will cause about a six-fold increase in the absorption of heme iron.  It appears that vitamin C enhances non-heme iron absorption in individuals with low iron status, but does not increase iron status unnecessarily in iron-replete individuals.  [Effect of ascorbic acid on iron absorption from different types of meals.  Hum Nutr: Appl Nutr,1986 40A: pp.97-113]

11
Possible Helicobacter Pylori Infection

A study showed vitamin C levels to be low in atrophic gastritis and Helicobacter Pylori infection.

12
(Less likely) Ulcerative Colitis

Vitamin C (unless it causes colon irritation) may be supportive.

13
Moderate risk of Gallbladder Disease

Sixteen patients with gallstones who were scheduled for surgery received 500mg of Vitamin C four times per day for two weeks prior to surgery.  Another sixteen patients who had their gallbladders removed did not receive Vitamin C (the control group).  During surgery, bile was taken from the gallbladder of each patient.  Vitamin C treatment resulted in a significant increase in the concentration of phospholipids in bile (phospholipids such as lecithin have been shown to prevent stone formation).  More importantly, it took seven days for the bile from Vitamin C-treated patients to form cholesterol crystals (the first step in stone formation), compared with just two days in the control group.  [Eur J Clin Invest 1997;27: pp.387-391]

Vitamin C also could help dissolve gallstones, although that probably would require several years of continuous treatment, combined with a strict diet.  It is noteworthy that birth-control pills have been shown both to reduce blood levels of Vitamin C and to increase the risk of gallstones.

Recommendation 4 of 30    Return to Recommendation Summary ↑

Recommendation: Selenium

70% - Recommended

Selenium is an essential mineral which works closely with vitamin E.  Selenium is absorbed fairly easily in the upper portion of the GI tract.

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Selenium is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Selenium is considered to be from 200 to 500 times more potent an antioxidant than Vitamin E.  Selenium and Vitamin E are synergistic as antioxidants and inhibit or prevent the damage to tissues by free radicals which have been cited as causal factors in heart disease.

2
Confirmed Atherosclerosis

Considered to be from 200 to 500 times more potent an antioxidant than vitamin E, selenium and vitamin E are synergistic as antioxidants and inhibit or prevent the damage to tissues by free radicals which have been cited as causal factors in heart disease, atherosclerosis, arthritis and aging.  Dosage: 200mcg per day.

3
Possible Cancer, General
4
Possible Hypothyroidism

Selenium and iodine are two minerals which are important in the proper functioning of the thyroid.  While the importance of iodine has been known for a long time, the importance of selenium has only been discovered and explored since 1990.

The following is a summary of the possible interactions of selenium and iodine to consider when dealing with thyroid abnormalities:

  • A selenium deficiency causes an iodine deficiency to worsen.
  • When both are deficient, giving selenium alone results in a worsening of existing hypothyroidism.
  • If iodine intake is low, selenium intake should also be kept low or the two should be supplemented together.
  • If iodine intake is high and selenium is low, the thyroid may over-produce thyroid hormone (Grave's hyperthyroidism), the thyroid can be damaged from oxidation and hypothyroidism may result (Hashimoto's thyroiditis).

The solution to nutrient supplementation for hypothyroidism may be to take both selenium and iodine simultaneously and gradually increase the dose.  A good recommendation may be to start with 100mcg of selenium and 1 kelp tablet per day and gradually work up to 400-600mcg of selenium and 2-4 tablets of kelp per day.

5
Possible Hepatitis

Optimal selenium status should be ensured for both prevention and treatment: 200mcg per day is needed to keep your liver healthy.  When the micronutrient selenium was added to the diet of 20, 847 people in a Chinese town, the number who became infected with hepatitis B virus was 50% less than for villagers not receiving dietary selenium.  Supplementation also markedly reduced the risk of liver cancer among HBV sufferers.

"Selenium also appears to be protective in individuals infected with hepatitis virus (B or C) against the progression of the condition to liver cancer." [Rayman MP.  The importance of selenium to human health.  The Lancet.  July 15, 2000; volume 356, pp.233-241]

6
(Less likely) Colon Cancer
7
Possible Mercury Toxicity (Amalgam Illness)

Selenium chelates heavy metals such as cadmium, lead, mercury and silver.

8
Herpes Simplex Type I
9
(Less likely) Alzheimer's Disease

See the link between Alzheimer's Disease and Zinc.

10
(Less likely) Prostate Cancer

In one study, the risk of prostate cancer for men receiving a daily supplement of 200mcg per day of selenium was found to be one-third that of those receiving a placebo.

Recommendation 5 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Sugar Avoidance / Reduction

67% - Recommended

Turning to artificial sweeteners is generally not a good method of reducing sugar intake because the adverse effects of these chemicals – however much the manufacturers deny it – may be worse than any benefit in some individuals.

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Continued Sugar Avoidance / Reduction is being suggested for the following reasons:
1
Probable Hypertension (High Blood Pressure)
2
Possible Hepatitis
3
Possible Diabetes Type II
4
Possible Gastric/Peptic/Duodenal Ulcers
5
(Less likely) Alzheimer's Disease
6
Possible Osteoporosis - Osteopenia

Avoiding factors that encourage bone loss can be as just as important as calcium intake.  Diets high in refined sugar, protein, salt, caffeine, and phosphorous contained in soft drinks, all promote calcium excretion in urine.

7
Confirmed Yeast / Candida Infection

Avoid foods high in simple carbohydrates such as refined sugars (sucrose, fructose, corn syrup), fruit juices, honey, and maple syrup.

8
Possible Hypoglycemia

Consuming foods that contain simple sugars makes the problem worse.  Avoid sweets other than fresh fruits, if tolerated.  In addition, consider avoiding products that only "taste" sweet (artificially sweetened – low calorie).  Even though they may contain no sugar, sending signals to your brain that something "sweet" is being consumed may have negative consequences.

9
Possible Elevated Insulin Levels
10
Moderate risk of Gallbladder Disease

In research published in 1983 from the University Department of Medicine, scientists stated, "Bile is significantly more saturated with cholesterol after 6 weeks on a refined carbohydrate diet (white flour and sugar) than after a similar period on an unrefined carbohydrate diet (whole wheat and grains)."

Recommendation 6 of 30    Return to Recommendation Summary ↑

Recommendation: Increased Water Consumption

65% - Recommended

Drinking enough water is a challenge for most people.  Most of us rely strictly on thirst as a reminder to drink, and a mild thirst is an easy sensation to ignore.  Relying on thirst alone is usually not enough to make a sufficient difference in how much water you are consuming.  Some additional measure is usually required in order to establish this new habit.

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Increased Water Consumption is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

A Seventh Day Adventist study found that those who drank 5 glasses of water per day have on average half the cardiac mortality and half the fatal stroke rate of the general population.

2
Moderate risk of Stroke

A Seventh Day Adventist study found that those who drank 5 glasses of water per day have on average half the cardiac mortality and half the fatal stroke rate of the general population.

3
Confirmed Heartburn / GERD / Acid Reflux

Additional water intake can help resolve heartburn symptoms.

4
Moderate Dehydration
5
Possible Gastric/Peptic/Duodenal Ulcers

Consuming up to 12 cups of water per day can eliminate the helicobacter infection when present.  Drink lots of water, golden seal tea, and flax seed tea.

6
Possible Helicobacter Pylori Infection

Drinking more water alone has resolved many cases of H. pylori infection.  The suggested amount is 1 quart per 50 pounds of body weight or generally about 12 glasses per day.  Most ulcers can be treated with water consumption and regular use of a good probiotic product.  (Am J Gastroenterol May 1999;94: pp.1200-2.)

7
Possible Kidney Stones (Urolithiasis)

Prevention is very important especially in those with a high likelihood of developing this condition since the recurrence rate of stone formation is very high.  Drinking a lot of water is the best preventative measure: drink enough to produce approximately 2 liters (one-half gallon) of urine per day.  Adequate fluid intake helps prevent kidney stone problems by allowing most small stones to pass through.

Recommendation 7 of 30    Return to Recommendation Summary ↑

Recommendation: Test for Cardiac Risk Factors

64% - Recommended

If you are at increased or uncertain cardiovascular risk, there are many additional tests beyond the basic cholesterol levels and stress EKGs that can predict the likelihood of a heart attack or stroke.

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Test for Cardiac Risk Factors is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack
2
Confirmed Atherosclerosis
3
Probable Need For Routine Preventative Health Measures

An electrocardiogram is recommended every three to five years after the age of 50, or after 30 if at high risk for heart attacks.

4
Small risk of Aneurysm / Rupture

The authors of one study concluded that a high level of lipoprotein is an independent risk factor for thoracic aortic atherosclerosis and should be controlled in order to prevent aortic disease including aortic aneurysm.  [American Journal of Cardiology, July 15, 1993;72: pp.227-30 ]

High levels of total cholesterol and triglycerides have also been associated with increased risk.

Recommendation 8 of 30    Return to Recommendation Summary ↑

Recommendation: Alcohol Avoidance

62% - Recommended

For the average regular drinker where addiction is not a problem, continued drinking may have some health, social and psychological benefits.  However, each of these seeming benefits can be achieved by other means, so if it looks like the benefits of regular alcohol consumption are balanced or outweighed by negative consequences, it is appropriate to reduce or stop drinking entirely at least for a trial period of time.  If you find it especially difficult to stop, alcohol use may be more of a problem than you had thought.

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Alcohol Avoidance is being suggested for the following reasons:
1
Confirmed Heartburn / GERD / Acid Reflux

Avoid or limit alcohol.

2
Possible Hepatitis

Alcohol and hepatitis C virus are synergistic in hastening the development of cirrhosis; patients with hepatitis C infection should abstain from alcohol.

3
(Less likely) Colon Cancer

You should drink under one alcoholic drink a day because drinking alcohol increases your risk of colorectal cancer.  Since it can have both positive and negative effects on your health, you may wish to talk to a health care professional about how alcohol may affect you.

4
Possible Gastric/Peptic/Duodenal Ulcers

No proven relationship exists between peptic ulcer disease and the intake of alcohol.  However, since alcohol can cause gastritis, moderation in alcohol consumption is often recommended.

5
Possible Osteoporosis - Osteopenia

Alcohol is toxic to the cells that form bones and inhibits the absorption of calcium.

6
Confirmed Angina
7
(Less likely) Cirrhosis of the Liver

In all cases, regardless of cause, following a healthy diet and avoiding alcohol are essential because the body needs all the nutrients it can get.

8
Possible Senile Dementia
9
Possible Hypoglycemia

Drinking alcohol can cause blood sugar to drop in some sensitive individuals.  Hypoglycemia has been well documented in chronic alcoholics and binge drinkers.

10
Possible Liver Detoxification / Support Requirement

Acetaldehyde, a metabolic breakdown product of alcohol, is said to destroy vitamins B1, B6 and C.  Even though supplements of these nutrients, together with the amino acid cysteine, may help the liver detoxify acetaldehyde, it would be wiser to avoid alcohol, it's primary source.

Recommendation 9 of 30    Return to Recommendation Summary ↑

Recommendation: Vitamin E

62% - Recommended

Alternative Names: The tocopherols.

Vitamin E works alongside other antioxidant nutrients including selenium, vitamin C, beta-carotene and others to quench free radicals, peroxides and other potentially harmful substances.  Vitamin E has a sparing effect on other antioxidants and vice versa.

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Despite an overall recommendation for Vitamin E, there is a reason against it:
X
Probable lack of Vitamin E Requirement

Vitamin E deficiency that occurs with cholestatic liver disease or other malabsorption syndromes can be treated with weekly injections of 100mg alpha-tocopherol that may continue for six months.  Vitamin E deficiency in premature infants may require treatment for only a few weeks.  The prognosis for correcting the neurological symptoms of vitamin E deficiency is fair to excellent.


Vitamin E is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Vitamin E may protect the endothelial cells of the arteries from becoming oxidized.  Free radical stress can be reduced with antioxidants such as vitamin E.

In a study published in Epidemiology in 2002, a substantial inverse association with myocardial infarctions (MI) was found for total dietary vitamin E (assessed by food-frequency questionnaire), in a case-control study of 475 survivors of a first MI and 479 controls in Costa Rica.  Dietary gamma tocopherol intake was not associated with the risk of myocardial infarction.  This study again indicates that alpha tocopherol may be the preferred form of vitamin E for protection from MI.  [Epidemiology 2002; 13(2): pp.216-223]

See also: [Stephens NG, Parsons A, Schofield PM, et al.  Randomized controlled trial of vitamin E in patients with coronary disease: Cambridge Heart Antioxidant Study (CHAOS).  Lancet 1996; 347: pp.781-6]

2
Moderate risk of Stroke

Vitamin E at 300 IU or above reduces platelet aggregation, as do the tocotrienols.  It is interesting to note that some doctors report that starting to take large doses of vitamin E immediately after a stroke will encourage a higher level of recovery than without the use of vitamin E.  For example, instead of having to use a walker, a patient may become mobile with just a cane.

A study reported in the June 15, 1999, issue of the "Annals of Internal Medicine" presented data derived from over 40,000 subjects – male health professionals whose dietary intake, use of vitamin supplements and health status were followed starting in 1986.

The researchers found no difference in risk of stroke between the high vitamin E- and C-consuming subjects and those who consumed lower levels of the two nutrients.  Similarly, the researchers found that a higher intake of most of the carotenoids did not decrease the risk in these men of either total stroke or ischemic stroke.  Only with respect to lutein (a carotenoid found mainly in dark-green leafy vegetables) did the investigators find a weak trend of decreased risk of stroke with increased intake.

3
Confirmed Atherosclerosis

Dosage: 400 IU per day.

4
Confirmed IBS (Irritable Bowel Syndrome)

See the link between IBS and Vitamin B12.

5
Possible Hepatitis

Vitamin E levels have been shown to be low in people with hepatitis [1], as well as in those who go on to develop liver cancer from long-standing hepatitis.[2] Vitamin E levels in the liver may also be decreased in some people with hepatitis.[3]

In a study of individuals with hepatitis B, half received 600 IU of vitamin E per day for nine months, while the others received no vitamin E (control group).  In five of the twelve people receiving vitamin E (compared with none of those in the control group), all signs of hepatitis disappeared.[4]

In a study of adults with hepatitis C, administering 1,200 IU per day of vitamin E for eight weeks appeared to reduce liver damage to some extent.[5] In a preliminary study of people with hepatitis C, 544 IU of vitamin E per day for 24 weeks improved the response to interferon/antioxidant therapy, although the results did not reach statistical significance.[6] However, in children with viral hepatitis, daily injections of vitamin E (300 IU) for seven days did not produce any benefit.[7]

[1] Von Herbay A, Stahl W, Niederau C, et al.  Diminished plasma levels of vitamin E in patients with severe viral hepatitis.  Free Radic Res 1996;25: pp.461-6
[2] Pan WH, Wang CY, Huang SM, et al.  Vitamin A, vitamin E or beta-carotene status and hepatitis B-related hepatocellular carcinoma.  Ann Epidemiol 1993;3: pp.217-24
[3] Mezes M, Par A, Nemeth P, Javor T.  Studies of the blood lipid peroxide status and vitamin E levels in patients with chronic active hepatitis and alcoholic liver disease.  Int J Clin Pharmacol Res 1986;6: pp.333-8
[4] Andreone P, Gramonzi A, Bernardi M.  Vitamin E for chronic hepatitis B.  Ann Intern Med 1998;128: pp.156-7
[5] Houglum K, Venkataramani A, Lyche K, Chojkier M.  A pilot study of the effects of d-alpha-tocopherol on hepatic stellate cell activation in chronic hepatitis C.  Gastroenterology 1997;113: pp.1069-73
[6] Look MP, Gerard A, Rao GS, et al.  Interferon/antioxidant combination therapy for chronic hepatitis C – a controlled pilot trial.  Antiviral Res 1999;43: pp.113-22
[7] Yurdakok M, Kanra G.  Vitamin E therapy in viral hepatitis.  Mikrobiyol Bul 1986;20: pp.91-4 [in Turkish]

6
Significant Stress
7
Possible Diabetes Type II

In a study published in the July 11, 2000 issue of Circulation, Drs. Ishwarlal Jialal and Sridevi Devaraj found that increased inflammation caused by white blood cells – monocytes – was reduced when diabetics were given 1,200 IU per day of natural vitamin E (alpha-tocopherol) for three months.

Another study showed that vitamin E (680 IU) along with vitamin C (1200mg) will reduce the albumin excretion rate in urine which reduces the risk of end stage renal disease associated with diabetes.  [DiabetMe 2001;18: pp.756-760]

8
(Less likely) Alzheimer's Disease

Ensure sufficient antioxidant intake.  A study of more than 5,000 men and women found that people who consumed very high amounts of dark green, yellow, and red vegetables appear to reduce their risk of dementia by about 25%.  Several studies have shown that vitamin E, an anti-oxidant, can slow progression of Alzheimer's.

9
Small risk of Aneurysm / Rupture

In evaluating 83 patients, it was found that serum cholesterol and triglyceride levels were higher in patients with aortic occlusive and aneurysmal disease than in control organ donors.  Vitamin E concentrations were highest in peripheral occlusive diseased tissue and as much as 3 times greater than in organ donors compared to patients with aortic occlusive disease and aneurysmal disease.  Signs of lipid peroxidation were markedly elevated in all diseased arterial tissue compared to controls.  These data supply evidence of altered vitamin E metabolism and free radical processes in the tissues of patients with various manifestations of atherosclerosis.  [Atherosclerosis, 1996;126: pp.289-297]

10
(Less likely) Ulcerative Colitis
Recommendation 10 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Caffeine/Coffee Avoidance

61% - Recommended

Over half the population of the U.S.  drinks at least two cups of coffee a day.  Some 25% of coffee drinkers consume about five cups daily, and another 25% drink ten or more cups a day.  Coffee is not just a beverage, it's a drug.  Hundreds of thousands of law abiding citizens are physically addicted to coffee.

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Continued Caffeine/Coffee Avoidance is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Coffee, including decaf, contains significant amounts of Vitamin K which is an important factor for blood coagulation.  People at high risk for blood clots, strokes, and heart attacks should avoid coffee and decaf for this reason.

2
Probable Hypertension (High Blood Pressure)

Caffeine raises the production of the adrenal hormone cortisol, which causes the blood vessels to constrict and the heart to pump harder, which leads to high blood pressure.  Studies have shown that coffee seems to worsen the symptoms of persons with high blood pressure, and can nullify the effect of high blood pressure medications, making expensive drugs useless.

An increased risk of developing hypertension was associated with drinking five or more cups of coffee per day in a large study of white, male, former medical students followed for an average of 33 years.  [Arch Intern Med 2002;162(6): pp.657-62]

3
Moderate risk of Stroke

Coffee, including decaf, contains significant amounts of Vitamin K which is an important factor for blood coagulation.  People at high risk for blood clots, strokes, and heart attacks should avoid coffee and decaf for this reason.

4
Confirmed Heartburn / GERD / Acid Reflux
5
Possible Hepatitis
6
Moderate Dehydration
7
Possible Gastric/Peptic/Duodenal Ulcers

Since coffee stimulates gastric acid secretion, moderation in coffee consumption is often recommended.

8
Possible Osteoporosis - Osteopenia

A study of 84,484 patients showed a correlation between bone fractures and heavy coffee consumption.

9
Confirmed Angina
10
Confirmed Iron Deficiency Anemia

Research has shown that drinking coffee causes a significant loss of several vitamins and minerals, including vitamins B and C, calcium, iron, and zinc.

11
Possible Zinc Requirement

Research has shown that drinking coffee causes a significant loss of several vitamins and minerals, including vitamins B and C, calcium, iron, and zinc.

12
Possible Hypoglycemia

Avoid all soft drinks, coffee, tea, artificial colors and additives.

13
Possible Kidney Stones (Urolithiasis)

A study published September, 2004 in the journal Urology suggests people prone to kidney stones should limit their intake of caffeine and cut down on the amount of coffee they drink.  People who consumed caffeine in amounts equal to two cups of coffee showed elevated levels of calcium in their urine, which can increase the risk of developing stones, especially for people prone to stones.  "Caffeine consumption may modestly increase risk of calcium oxalate stone formation," concluded the researchers.

14
Possible Iron Requirement

Research has shown that drinking coffee causes a significant loss of several vitamins and minerals, including vitamins B and C, calcium, iron, and zinc.

Recommendation 11 of 30    Return to Recommendation Summary ↑

Recommendation: Nut and Seed Consumption

60% - Recommended

Nuts, in general, are the richest source of natural vitamin E and also have many fatty acids that are of benefit in a wide variety of conditions.  While nuts contain fat and thus more calories than some other foods, there have not been any studies showing weight gain to result from the additional calories derived from eating nuts.

→ Read full details
Nut and Seed Consumption is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

A Seventh Day Adventist study that was reported at the 2002 International Congress on Vegetarian Nutrition found those that ate a serving of nuts 5 times per week had half the cardiac mortality.

2
Confirmed Atherosclerosis

A Seventh Day Adventist study that was reported at the 2002 International Congress on Vegetarian Nutrition found those that ate a serving of nuts 5 times per week had half the cardiac mortality.

3
Possible Diabetes Type II

A recent analysis of the well-known Harvard nurses study indicated that increased nut and seed consumption is an effective way to prevent type II diabetes.

Recommendation 12 of 30    Return to Recommendation Summary ↑

Recommendation: Anticoagulant / Blood Thinner

58% - Recommended

A blood thinner is a type of drug that reduces the blood's tendency to clot (coagulate).  Anticoagulants may be used as a medication for thrombotic disorders, or to stop clotting in medical equipment such as test tubes, blood transfusion bags, or renal dialysis equipment.

→ Read full details
Anticoagulant / Blood Thinner is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack
2
Moderate risk of Stroke
Recommendation 13 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Aspirin

57% - Recommended

Alternative Names: Acetylsalicylic Acid.

Aspirin (acetylsalicylic acid) is one of the most widely-used medications in the world, with over 40,000 tons being consumed each year.  A great body of evidence also suggests that regular aspirin use may offer strong protection against the consequences of heart attack, liver disease, and various cancers.

→ Read full details
Continued Aspirin is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

If you are at risk of having a heart attack, taking one aspirin daily can greatly reduce this risk.  A quarter of heart attacks occur within three hours of waking up, when the blood is thickest and stickiest and the circulation is at its slowest, increasing the risk of clot formation.  Therefore, the most effective time to take aspirin for the prevention of heart attack, stroke and deep vein thrombosis is before sleeping.

During a heart attack, it is important to get some aspirin into your bloodstream as quickly as possible by chewing 1 adult-strength or 2 to 4 low-dose aspirin.  Most heart attacks occur when a cholesterol-laden plaque ruptures in a coronary artery, attracting platelets to its surface and causing a clot (thrombus) to build up.  If the clot blocks the artery completely, it deprives part of the heart of oxygen and causes a heart attack.  Aspirin helps by inhibiting platelets; only a tiny amount is needed to inhibit all the platelets in the bloodstream – in fact, small doses are better.  This will slow clotting and decrease the size of the blood clot that is forming.

After a heart attack, aspirin can help prevent further attacks when taken daily.  An appropriate preventative dose is around half a regular aspirin tablet (150-160mg), or two baby aspirin tablets (81mg each.)

2
Moderate risk of Stroke

Aspirin may reduce your chance of having a stroke.  Aspirin reduces platelet 'stickiness' or aggregation, as do other natural products that 'thin blood'.  The use of aspirin to reduce clotting and stroke risk, even at doses as low as 81mg three times per week, is still controversial.  The risks from aspirin are low at the lowest doses, but the benefit may be limited.  Aspirin seems to work better in men with low blood pressure than high, and in men who have had a previous heart attack compared to those who have not.  There are many natural substances that can reduce stroke risk with fewer side-effects.

3
Possible Cancer, General

People who take aspirin daily have a 36% reduced likelihood of developing metastatic cancer, according to a meta-analysis published in 2012.

4
(Less likely) Colon Cancer

A study published in 2012 followed more than 500 colon-cancer patients in the Netherlands aged 70 and older, over 100 of which were prescribed daily low-dose "baby" aspirin after the cancer diagnosis.  Between 1998 and 2007, the death rate for those prescribed aspirin was about half that of the non-aspirin users, with the greatest benefit occurring among those with more advanced cancer and in those who received no chemotherapy.  [Journal of the American Geriatrics Society, November 23, 2012]

In October of 2012, a study published in the New England Journal of Medicine also showed that aspirin therapy could improve colon cancer survival rates.

Recommendation 14 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Dairy Products Avoidance

56% - Recommended

Whether through allergy, lactose intolerance, hormone contamination or infectious agents, the consumption of dairy products has contributed to chronic health problems in both children and adults.  In some individuals, avoiding dairy products may contribute significantly to both short and long term health improvements and a sense of well being.

→ Read full details
Continued Dairy Products Avoidance is being suggested for the following reasons:
1
Confirmed Heartburn / GERD / Acid Reflux

Whilst drinking milk can be a 'quick fix' by neutralizing some of the acid, it also has a rebound action that eventually will encourage the secretion of more stomach acid, which causes the acid reflux.

2
Confirmed IBS (Irritable Bowel Syndrome)

Mycobacterium paratuberculosis (Para-T) RNA (a bacteria causing Johne's disease in cows) was found in 100% of Crohn's disease patients, compared with 0% of controls.

This bacteria becomes cultured in milk, and is not destroyed by pasteurization.  Para-T crosses the species barrier to infect and cause disease in humans.  Occasionally, the milk-borne bacteria will begin to grow in the human host, and irritable bowel syndrome and Crohn's disease results.  The USDA estimates that 30% of America's dairy herds contain cows infected with Para-T.

3
Possible Osteoporosis - Osteopenia

Dairy product consumption is not an appropriate way to reduce bone loss, as it will ultimately accelerate bone loss.  However, this fact is ignored by marketing experts in the milk industry who make certain that women aged 35 and over are targeted consumers for milk and dairy products.

Harvard University's landmark Nurses' Health Study, which followed 78,000 women over a 12-year period, found that the women who consumed the most calcium from dairy foods broke more bones than those who rarely drank milk.  Summarizing this study, the Lunar Osteoporosis Update (November 1997) explained: "This increased risk of hip fracture was associated with dairy calcium.  If this were any agent other than milk, which has been so aggressively marketed by dairy interests, it undoubtedly would be considered a major risk factor."

A study published in the January, 2001 edition of the American Journal of Clinical Nutrition examined the diets of 1,035 women, particularly focusing on the protein intake from animal and vegetable products.  Deborah Sellmeyer, M.D., found that animal protein increases bone loss.  In her study, women with a high animal-to-vegetable protein ratio experienced an increased rate of femoral neck bone loss.  A high animal-to-vegetable protein ratio was also associated with an increased risk of hip fracture.  Dr. Sellmeyer states: "Sulfur-containing amino acids in protein-containing foods are metabolized to sulfuric acid.  Animal foods provide predominantly acid precursors.  Acidosis stimulates osteoclastic activity and inhibits osteoblast activity."

Milk has been called "liquid meat".  The average American eats five ounces of animal protein each day in the form of red meat and chicken, at the same time consuming nearly six times that amount (29.2 ounces) per day of milk and dairy products.  How ironic it is that the dairy industry continues to promote the cause of bone disease as the cure!

Many foods naturally contain an abundance of calcium.  One must wonder why Asians traditionally did not get bone-crippling osteoporosis... that is, until they adopted the "American Diet", a diet of milk and dairy products.

4
Possible Autoimmune Tendency
5
Moderate risk of Increased Intestinal Permeability / Leaky Gut

See the link between Intestinal Permeability and a Gluten-free diet.

6
Possible Kidney Stones (Urolithiasis)

Those with a tendency to form calcium stones may want to avoid foods rich in calcium, such as dairy products.

Recommendation 15 of 30    Return to Recommendation Summary ↑

Recommendation: Stress Management

56% - Useful

Understanding the nature of stress, identifying the source of it and having the tools to successfully make changes are important in preventing the negative health consequences that stress will have on you.

→ Read full details
Stress Management is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

People who live in a chronically stressed-out condition are more likely to take up smoking, frequently overeat, and be far less likely to exercise.  All of these stress-related behaviors have a direct effect on the development of coronary artery disease.

It is also known that the surge in adrenaline caused by severe emotional stress causes the blood to clot more readily (a major factor in heart attacks) and that the stress of performing difficult arithmetic problems can constrict the coronary arteries in such a way that blood flow to the heart muscle is reduced.  Stress increases homocysteine levels, a known risk factor for coronary artery disease.

2
Confirmed Atherosclerosis

Cardiovascular risk factors that most highly predicted carotid artery wall thickness scores were holding anger in, being self-aware and having hostile attitudes.

3
Confirmed IBS (Irritable Bowel Syndrome)

Stress stimulates colonic spasm in people with IBS.  Stress reduction (relaxation) training or counseling and support help relieve IBS symptoms in some people.

4
Significant Stress
5
Possible Gastric/Peptic/Duodenal Ulcers

Decrease your stress level.

6
Confirmed Angina

Stress should be decreased by using stress management techniques such as progressive relaxation or guided imagery.

Recommendation 16 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Increased Fruit/Vegetable Consumption

54% - Useful

According to statistics, Americans are chronically lacking in fruits and vegetables in their diet.  Fruits and vegetables are vital for good health and are outstanding sources of essential vitamins and minerals.  In addition they provide other dietary compounds with powerful chronic disease risk reduction potential.

→ Read full details
Despite an overall recommendation for Increased Fruit/Vegetable Consumption, there is a reason against it:
X
Confirmed Yeast / Candida Infection

Based on their clinical experience and on very preliminary research, several doctors have suggested that a number of dietary factors may promote the overgrowth of Candida.  Dried fruits, which are high in sugar, have been blamed for contributing to promotion of Candida overgrowth.  Sugars avoidance is a standard recommendation on any anti-candidal diet.


Continued Increased Fruit/Vegetable Consumption is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

A diet high in fruits appears protective against heart disease.  The total number of deaths from cardiovascular disease was found to be significantly lower among men with high fruit consumption in one study.  A large study of male healthcare professionals found that those men eating mostly a "prudent" diet (high in fruits, vegetables, legumes, whole grains, fish, and poultry) had a 30% lower risk of heart attacks compared to men who ate the fewest foods in the "prudent" category.  A parallel study of female healthcare professionals showed a 15% reduction in cardiovascular risk when they ate a diet high in fruits and vegetables compared to the effect of a low fruit and vegetable diet.

2
Probable Hypertension (High Blood Pressure)

Fruit and vegetable consumption (a minimum of five portions daily) was associated with modest reductions of systolic and diastolic blood pressures in a controlled study of 690 healthy people ages 25-64.  [Lancet May 28, 2002]

3
Confirmed Atherosclerosis

A diet high in fiber helps prevent coronary heart disease.  Eating fruits high in the soluble fiber pectin has also been linked with reduced cholesterol levels, which protects against atherosclerosis.

4
Possible Cancer, General

Consumption of fruits is widely accepted as lowering the risk of most common cancers except prostate cancer.  Many doctors recommend that people wishing to reduce their risk of cancer eat several pieces of fruit and several portions of vegetables every day.  Optimal intakes remain unknown.

5
Possible Diabetes Type II

Eating carbohydrate-containing foods, including some fruits, temporarily raises blood sugar and insulin levels.  On the other hand, a diet rich in the soluble fiber found in fruit may lower the risk of type 2 diabetes, despite the high carbohydrate content of most fruit.

High-fiber supplements, such as pectin from fruit, have been found to improve glucose tolerance in some studies.  A review of the research revealed that the extent to which moderate amounts of fiber help people with diabetes in the long term is still unknown, and the lack of many long-term studies has led some researchers to question the importance of fiber in improving diabetes.  Nonetheless, most doctors advise people with diabetes to eat a diet high in fiber.  Focus should be placed on fruits, vegetables, seeds, oats and whole-grain products.

6
(Less likely) Colon Cancer

The fiber of choice for prevention of colorectal cancer seems to be psyllium, pectin or guar gum.  The amount of pectin in approximately two servings of fruit rich in pectin such as pears, apples, grapefruit, and oranges is 15gm.  Psyllium or guar gum are obtained by supplement.  The RDA of total fiber is 20-30gm.  In Scotland, where the average fiber intake is 2-3gm per day, there is a very high incidence of colon cancer.

For years, dietary fiber has been promoted by nutrition researchers and practitioners for colon cancer prevention.  However, in two recent studies high-fiber diets did not decrease risks of colon cancer.  The two studies are significant contributions to the literature, but they can not and do not close the discussion.  If anything, they underscore the real need for further research and analysis.

Both studies, for example, involved only short-term (four-year) adjustments to the diet.  One of them involved the use of wheat bran.  Colon cancer is a disease that can take decades to develop.  Convincing epidemiological evidence suggests that a healthy diet has its greatest preventive effect as a lifelong commitment, not a stopgap measure.  While wheat bran does not appear to provide any protective benefit, a high fruit and vegetable diet may still provide benefit in preventing colorectal cancer.

Dr. Tim Byers, M.D., M.P.H.  from the University of Colorado School of Medicine stated in the same issue of NEJM that "...observational studies around the world continue to find that the risk of colorectal cancer is lower among populations with high intakes of fruits and vegetables and that the risk changes on adoption of a different diet, but we still do not understand why." [NEJM, January 22, 1999, NEJM 342: pp.1149-55, pp.1156-62, 2000.]

7
Moderate Dehydration
8
(Less likely) Congestive Heart Failure

Whole fruit and fruit and vegetable juice, both high in potassium, are recommended by some doctors for congestive heart failure (CHF).  This dietary change should, however, be discussed with a healthcare provider because several drugs given to people with CHF can actually cause retention of potassium, making dietary potassium, even from fruit, dangerous.  Bananas are a rich source of potassium and need to be avoided in persons taking potassium-sparing diuretics.

9
Possible Osteoporosis - Osteopenia

Studies suggest that eating just one serving of dark leafy greens or broccoli each day can cut your risk of hip fracture in half.  A diet low in green leafy vegetables can be low in vitamin K.  Vegetarians have on average greater bone mass than meat eaters.

10
Possible Hypoglycemia

Fruit contains several things that are of benefit, including a sugar (fructose) that does not cause wild glucose swings, trace minerals, and fiber which slows glucose absorption.

Recommendation 17 of 30    Return to Recommendation Summary ↑

Recommendation: Increased Legume Consumption

54% - Useful

The legume family is large and contains species that can grow in most soils and climates.  Legumes include: dried beans, dried peas, lentils, peanuts, soya beans (and the many products made from soy), and bean sprouts.

→ Read full details
Increased Legume Consumption is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Bulking up the diet with legumes such as beans and peas can lower the risk of heart disease, study findings suggest.  Men and women who ate legumes at least four times a week were found to have a 22% lower risk of coronary heart disease over 19 years than those who consumed legumes once weekly, researchers report in the November 26th issue of the Archives of Internal Medicine.  The study was based on interviews and medical exams of more than 9,600 Americans who did not have heart disease when the study began.  [Archives of Internal Medicine 2001;161: pp.2573-8].

Legumes contain low levels of sodium and high levels of potassium, calcium and magnesium – a combination that is associated with a reduced risk of heart disease.  Folate, a mineral also found in abundance in legumes, is thought to reduce blood levels of homocysteine, a compound that can boost heart disease risk.

Increased dietary copper through legume consumption may protect against heart disease.  [Archives of Internal Medicine 162, 15: pp.1780-1, August 12, 2002]

2
Probable Hypertension (High Blood Pressure)

A study of 9,600 Americans found that those who ate plenty of legumes had lower blood pressure and were less likely to be diagnosed with high blood pressure.  [Archives of Internal Medicine 2001;161: pp.2573-8].

3
Possible Diabetes Type II

A study of 9,600 Americans found that those who ate plenty of legumes were less likely to be diagnosed with diabetes.  Legumes are rich in soluble fiber, which has been shown to help improve insulin resistance, the study authors note.  [Archives of Internal Medicine 2001;161: pp.2573-8].

Recommendation 18 of 30    Return to Recommendation Summary ↑

Recommendation: Vitamin B12 (Cobalamine)

53% - Useful

Vitamin B12 (cyanocobalamin) is an oxygen carrier; it decreases blood cholesterol; it metabolizes fat.  Vitamin B12 is essential in humans for healthy nerve tissues.  Its deficiency is associated with heart palpitations.

→ Read full details
Vitamin B12 (Cobalamine) is being suggested for the following reasons:
1
High risk of Vitamin B12 Requirement

Treatment is highly effective.  The form of vitamin B12 known as hydroxocobalamin is given by injection into a muscle twice during the first week and then weekly until the anemia and all other symptoms of deficiency have been fully corrected.  It may be necessary to stay on a maintenance dosage of vitamin B12 every three months for life to stop the problem coming back.

2
Confirmed Atherosclerosis
3
Confirmed IBS (Irritable Bowel Syndrome)

Vitamins B12, A, D, E and K along with calcium and a lactose-free diet are often recommended by clinicians treating IBS.

4
Possible Hepatitis

Vitamin B12 (with or without folic acid) has been reported in studies from the 1950s to help some people with hepatitis.[1] [2] Vitamin B12 injections are likely to be more beneficial than oral administration, though 1,000mcg taken orally each day can also be supplemented.

[1] Campbell RE, Pruitt FW.  Vitamin B12 in the treatment of viral hepatitis.  Am J Med Sci 1952;224: pp.252-62
[2] Campbell RE, Pruitt FW.  The effect of vitamin B12 and folic acid in the treatment of viral hepatitis.  Am J Med Sci 1955;229: pp.8-15

5
(Less likely) Alzheimer's Disease

Low levels of vitamin B12 have been linked to an increased risk Alzheimer's disease.  [Neurology, May 2000] It remains unclear as to whether B12 supplementation will reduce the risk.

6
Possible Helicobacter Pylori Infection

H. pylori infection may result in Vitamin B12 deficiency.

7
Vegan Diet Consequences

B12 supplementation is highly recommended for those on a vegan diet.

Recommendation 19 of 30    Return to Recommendation Summary ↑

Recommendation: Magnesium

53% - Useful

Magnesium is an important mineral that helps improve stamina, endurance, vitality, and energy levels.  Magnesium is involved in several hundred enzymatic reactions, being required for cardiovascular function and the conversion of carbohydrates, proteins and fats to energy.  It also functions in muscle relaxation and contraction, nerve transmissions, and the removal of excess toxic substances from the body.  Magnesium is one of the most abundant minerals in the soft tissues.

→ Read full details
Despite an overall recommendation for Magnesium, there is a reason against it:
X
Possible Kidney Disease

If you have kidney problems, taking magnesium supplements may make you accumulate the mineral too quickly, which could be toxic.


Magnesium is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack
2
Probable Hypertension (High Blood Pressure)

Magnesium has a mild effect on lowering blood pressure and so is used to treat and prevent hypertension and its effects.  In a double-blind, placebo-controlled trial, it was demonstrated that oral magnesium resulted in a significant dose-dependent reduction of systolic and diastolic blood pressure.  A mean reduction of 6mm Hg in diastolic pressure in patients with hypertension results in approximately 10% lower risk of coronary artery disease, and a 40% reduction in risk of strokes.

When magnesium levels are low, more calcium flows into the vascular muscle cells, which contracts them – leading to tighter vessels and higher blood pressure.  Adequate magnesium levels prevent this.

3
Confirmed Atherosclerosis

Magnesium is helpful in preventing blood vessel calcification (and thereby atherosclerosis).  A daily dose of 50mg of vitamin B6 and 200-300mg of magnesium is often given.

4
Confirmed IBS (Irritable Bowel Syndrome)
5
Significant Stress
6
Possible Osteoporosis - Osteopenia

You can reverse bone loss and regain bone mass with calcium, magnesium, vitamin D, and vitamin K.  Minimum doses should be in the following ranges: calcium (1200mg), magnesium (400-800mg) vitamin D (400 IU – consider supplementing in the winter months in females), and vitamin K (80mcg).  Calcium comes in many forms, so use those which are more absorbable such as hydroxyapatite, citrate, gluconate, and others.  Some special preparations have been shown to increase bone density without the use of any other nutrients.

7
Confirmed Angina

Magnesium insufficiency-induced coronary artery spasm, more common in men than women, is now recognized as an important cause of myocardial infarction and may be of significance in angina pectoris.

8
Confirmed Tinnitus

300 young healthy male military recruits undergoing two months of basic training were studied.  The trainees were repeatedly exposed to high levels of impulse noises, with ringing of the ears as a consequence.  Each recruit received daily either 167mg of magnesium aspartate or a placebo.  Permanent hearing loss was significantly more frequent and more severe in the placebo group than in the magnesium group.  [Am J Otolaryngol 1994;15: pp.26-32]

9
Possible Kidney Stones (Urolithiasis)

By increasing calcium solubility (especially in the urine) and reducing calcium absorption, magnesium can help prevent kidney stones, especially those composed of calcium oxalate.  Research has shown this effect in a high percentage of people who form kidney stones regularly.  It is thought that calcium oxalate stones are most likely to form in people who are magnesium deficient, so it may just be correcting that deficiency.

10
Possible Magnesium Requirement
Recommendation 20 of 30    Return to Recommendation Summary ↑

Recommendation: Diuretics

52% - Useful

Alternative Names: Diuretic, Water Pill, Water Pills.

A diuretic is a drug or other substance that increases a person's urine and salt excretion.

→ Read full details
Diuretics is being suggested for the following reasons:
1
Probable Hypertension (High Blood Pressure)

Thiazide diuretics, such as Esidrix or Zaroxolyn, can be used to lower blood pressure.

2
(Less likely) Congestive Heart Failure

Potassium-sparing diuretics such as Aldactone or Dyrenium help the body to retain potassium and are often used in congestive heart failure patients, often along with the other two types of diuretics.  They do not significantly lower blood pressure.

Loop diuretics such as Lasix or Bumex are often used to counter congestive heart failure symptoms and are especially useful in emergencies.  They do not, however, significantly lower blood pressure.  Thiazide diuretics, such as Esidrix or Zaroxolyn, can be used to treat edema in heart failure.

3
Possible Osteoporosis - Osteopenia

Some diuretics are useful against osteoporosis: Thiazides lower urinary calcium excretion, resulting in a positive calcium balance and increased bone mineral density and a reduction in fracture rates due to osteoporosis.  For reasons not fully understood, thiazides also stimulate bone mineral formation, which helps to slow the course of osteoporosis.

4
(Less likely) Cirrhosis of the Liver
5
Possible Kidney Stones (Urolithiasis)

Thiazides lower urinary calcium excretion, which helps prevent calcium-based kidney stone formation.

Recommendation 21 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Garlic

52% - Useful

If garlic had been created in the laboratory instead of by nature, it would probably be a high-priced prescription drug.  Garlic has been used medicinally for at least 3,000 years, but until recently its benefits were considered little more than folklore.  Medical studies have shown that garlic can lower cholesterol, prevent dangerous blood clots, protect LDL cholesterol and the endothelial lining of the arterial system against oxidation, reduce blood pressure, prevent cancer, and protect against bacterial and fungal infections.

→ Read full details
Continued Garlic is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack
2
Probable Hypertension (High Blood Pressure)

One study found that aged garlic extract at 7.2gm per day reduced total and LDL cholesterol, as well as systolic and diastolic blood pressure.

3
Moderate risk of Stroke

Reduces platelet aggregation.

4
Confirmed Atherosclerosis

A mechanism by which atherosclerotic plaque accumulates on the walls of arteries is the oxidation of LDL cholesterol.  Garlic has been shown in repeated studies to protect against LDL cholesterol oxidation and oxidation in the linings of the arteries themselves.  Garlic, ginger and onions all have a beneficial effect on platelet aggregation which reduces the tendency to form clots too easily, thus preventing the blockage of narrowed arteries.

5
Possible Cancer, General
6
Possible Diabetes Type II
7
Possible Mercury Toxicity (Amalgam Illness)

Garlic chelates heavy metals such as cadmium, gold, lead and mercury, and acts as a detoxifier.

8
Confirmed Angina

When taken in high doses, garlic increases fibrinolytic activity.  This increased fibrinolytic activity inhibits platelet aggregation which contributes to the formation of blood clots.

9
Confirmed Yeast / Candida Infection

Liberal consumption of garlic, ginger, cinnamon and other aromatic herbs can have significant antifungal activity.

10
Possible Liver Detoxification / Support Requirement
Recommendation 22 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Low/Decreased Fat Diet

51% - Useful

Not all fat is bad for the body, and when people avoid it altogether, they avoid healthy foods that provide valuable nutrients.  It is important to distinguish between good fats and bad fats, and to cut out the latter.  When you reduce fat in your diet, you should focus on "unnatural" fats – oils and fats that have been processed (using hydrogenation, for example).  Many of them oxidize easily and are missing some of their original nutrients.

→ Read full details
Continued Low/Decreased Fat Diet is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack
2
Moderate risk of Stroke
3
Confirmed Atherosclerosis
4
Confirmed Heartburn / GERD / Acid Reflux

Fats are the most difficult component of the diet to digest, remaining in the stomach longer and thus causing the need for more stomach acid in order to digest them.  Fatty foods cause more indigestion than proteins or starches.

5
Possible Cancer, General
6
(Less likely) Colon Cancer

There has been much recent research on the relationship between cancer and dietary fat – possibly more than on any other component of the diet.  A connection between high fat consumption and breast and colon cancer (two of the most deadly forms of the disease) has appeared in many studies.  Experts recommend that you consume no more than 20-25% of calories from fat.  That's about half of the fat that most Americans eat.  You should also choose modest amounts of appropriate vegetable oils.

7
(Less likely) Prostate Cancer

It may be possible to reduce the risk by avoiding a high fat diet through, for example, cutting down on dairy foods and red meat.

Recommendation 23 of 30    Return to Recommendation Summary ↑

Recommendation: Zinc

49% - Useful

Zinc is an essential trace mineral that occurs in greater amounts than any other trace mineral except iron.  Its functions are varied and numerous, including synthesis of cholesterol, protein and fats, releasing vitamin A from the liver, assisting the immune system and cell growth, being required for vision, taste perception, prostrate reproductive health and insulin function, metabolizing alcohol, and protecting against copper and heavy metal toxicity such as cadmium and lead.

→ Read full details
Zinc is being suggested for the following reasons:
1
Confirmed IBS (Irritable Bowel Syndrome)

A study involving zinc supplementation in inflammatory bowel disease illustrated the importance of taking adequate supplementation, but not too much.  In this study, excess amounts of zinc caused tissue injury and impaired wound healing [Cario et al.  2000].  However, relative zinc deficiencies, especially in the elderly, are common in the United States [Andrews et al.  1999].

2
Possible Hepatitis
3
Possible Gastric/Peptic/Duodenal Ulcers

In a double-blind study on 18 patients, those taking zinc sulfate supplements had a gastric ulcer healing rate three times that of patients treated with a placebo.  [The healing of gastric ulcers by zinc sulfate.  Med J Aust 2(21): pp.793-6, 1975]

4
Herpes Simplex Type I
5
(Less likely) Alzheimer's Disease

Maintain adequate zinc status: Reduced levels of zinc are being linked to Alzheimer's disease.  In one study, 38 elements were evaluated by neutron activation and mass spectrometry in the post-mortem brain tissue of eleven Alzheimer's patients and six controls.  An increase was found in aluminum, silicon and calcium; a significant decrease was found in zinc and selenium.  The lower level of zinc in all areas of the tissue studied correlates with reports indicating low serum levels of zinc in other dementia studies.  [Reduction of Zinc and Selenium in Brain Alzheimer's Disease: Corigan, et al., Trace Elements in Medicine, 91;8(1): pp.1-5]

6
Possible Osteoporosis - Osteopenia
7
Possible Zinc Requirement
8
Moderate risk of Enlarged Prostate

Zinc supplementation has a clearly documented usefulness in shrinking an enlarged prostate.  Research has shown that zinc and essential fatty acids are important to help prevent prostate problems that affect men as they grow older.  Many studies confirm that a lack of these two nutrients in the diet could be associated with prostate enlargement.

Zinc has been found to inhibit the activity of 5-alpha reductase, the enzyme that irreversibly converts testosterone to dihydrotestosterone, a form which binds more avidly to the prostrate and stimulates greater growth.  It also decreases prolactin secretion by the pituitary gland, thus decreasing its binding to the prostate, both of which prevent prostatic enlargement.

9
(Less likely) Ulcerative Colitis

Zinc supports tissue regeneration and can be especially useful if levels are deficient.

10
Possible Gluten Sensitivity / Celiac Disease

Tissue damaged by celiac disease has demonstrated an enhanced recovery rate with adequate zinc intake.

11
Vegan Diet Consequences

Vegetarians may need as much as 50% more zinc than non-vegetarians because of the lower absorption of zinc from plant foods, so it is very important for vegetarians to include good sources of zinc in their diet.

Recommendation 24 of 30    Return to Recommendation Summary ↑

Recommendation: Continued Processed Foods Avoidance

48% - Useful

The convenience of processed foods does not justify the cost to our health.

→ Read full details
Continued Processed Foods Avoidance is being suggested for the following reasons:
1
Possible Hepatitis
2
Possible Diabetes Type II

Many doctors and researchers agree that the regular consumption of tasty, mostly modern, commercially processed foods is the primary cause of adult-onset diabetes.  Consuming anything sweet, regardless of its calorific content, may be sending a signal from the mouth to the brain that more insulin is needed.

3
(Less likely) Alzheimer's Disease

Keep your weight down, and keep simple sugars and refined carbohydrates to a minimum.  Researchers have found that diabetes mellitus (for which these are risk factors) nearly doubles the risk of developing both vascular dementia and Alzheimer's disease.

4
Possible Hypoglycemia

Refined carbohydrates are more readily absorbed than unrefined, and should be avoided in those with any glucose intolerance.

5
Possible Salt Sensitivity

Processed food often has salt added as a flavor enhancer to encourage product sales.  Significantly reducing processed food consumption is always a good idea.  The general rule is that any food in a package has had salt added.  Look at the labels on the food that you eat.  If the sodium content per 100gm is greater than 0.2gm, the food is high in salt.

Recommendation 25 of 30    Return to Recommendation Summary ↑

Recommendation: Alpha Lipoic Acid

47% - Useful

Alternative Names: Thioctic Acid or (less common) Thiotic Acid

Discovered in 1951, lipoic acid (also called alpha-lipoic acid or ALA) has long been recognized as a coenzyme that helps break down sugar for energy production during the Krebs cycle.  Only recently has its therapeutic potential been realized.

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Alpha Lipoic Acid is being suggested for the following reasons:
1
Moderate risk of Stroke
2
Confirmed Atherosclerosis

Recycles vitamins E and C when they've been used.  Dosage: 50mg bid.

3
Possible Hepatitis

Alpha lipoic acid is given in a dose of 300mg at least twice per day for hepatitis B or C.  Alpha lipoic acid (ALA), silymarin, and selenium have been used in combination with success in reducing symptoms and elevated liver enzyme levels (though the viral load was not substantially reduced).

4
Possible Diabetes Type II

Numerous additional studies have indicated that ALA is useful for the treatment of diabetes mellitus.  It stimulates increased glucose utilization in muscle cells and significantly reduces human insulin resistance.

600mg of alpha lipoic acid tid was found to improve polyneuropathy symptoms in patients with type II diabetes.  A maintenance dose as low as 100mg tid may be sufficient to provide benefits.  [Diabet Med 1999;16; pp.1040-1043]

5
Possible Mercury Toxicity (Amalgam Illness)

Sources of sulfur such as alpha lipoic acid, MSM and garlic are helpful for protection against heavy metals in general and specifically useful in mercury toxicity.  Alpha lipoic acid should not be used alone, as it only mobilizes mercury with a weak bond.  Without additional chelators present, such as DMPS or DMSA, the mercury may just redistribute elsewhere in the body instead of being removed.

6
Possible Liver Detoxification / Support Requirement

Alpha-lipoic acid has been used very successfully as a therapeutic agent in a number of conditions relating to liver disease, including alcohol-induced damage, mushroom poisoning, metal intoxification and carbon tetrachloride poisoning.

Recommendation 26 of 30    Return to Recommendation Summary ↑

Recommendation: Folic Acid

47% - Useful

Alternative Names: Folacin or Folate.

Although folic acid is found in vegetables, fruits, grain products, meat and meat alternatives, it is difficult to get the entire amount from food.  Cooking foods at high heat on the stove or in a microwave, or with too much water, will reduce folate content.  Try to eat vegetables lightly steamed or raw.

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Folic Acid is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

Reduces homocysteine levels (major cause of heart disease), thereby decreasing risk of heart disease.  A study found that people with a dietary intake of at least 300mcg per day of folic acid reduced their risk of stroke and heart disease by 20% and 13% respectively, compared with those who consumed less than 136mcg of folic acid per day.  [Stroke 2002;33: pp.1183-9]

2
Moderate risk of Stroke

A study found that people with a dietary intake of at least 300mcg per day of folic acid reduced their risk of stroke and heart disease by 20% and 13% respectively, compared with those who consumed less than 136mcg of folic acid per day.
[Stroke 2002;33: pp.1183-9]

3
Confirmed Atherosclerosis

For improved homocysteine metabolism, folic acid (800mcg per day), B6 (50mg per day), B12 (400mg per day), betaine (200 to 1,000mg per day are recommended.

4
Possible Cancer, General
5
Possible Hepatitis

See the link between Hepatitis and Vitamin B-Complex.

6
(Less likely) Colon Cancer

Long-term use of a multivitamin containing 400mcg of folic acid, found mostly in leafy green vegetables, beans and nuts, may reduce the risk of colon cancer in women by as much as 75%.  The investigators in one study found that folic acid obtained from dietary supplements had a stronger protective effect against colon cancer than folic acid consumed in the diet.  In other words, although foods naturally high in folate may provide other beneficial micronutrients, consumption of these foods is probably less effective than use of supplements and fortified foods in enhancing folate status.  [Annals of Internal Medicine October 1, 1998;129: pp.517-524]

7
Possible Hydrochloric Acid Deficiency

In cases of low stomach acid (hypochlorhydria) or no stomach acid (achlorhydria), supplemental use of hydrochloric acid normalizes folate absorption.

8
(Less likely) Alzheimer's Disease

There is growing evidence suggesting that low blood folate levels can increase the risk of getting Alzheimer's.

In an ongoing study searching for new clues to the aging process, researchers took blood samples of nuns between the ages of 78-101years old living in a convent in Mankato, Minnesota.  After 30 of the nuns died, researchers examined their brains for signs of atrophy and compared the results with previous blood nutrient levels.

In brain samples showing numerous Alzheimer's disease brain lesions, researchers found that significantly lower blood levels of folate corresponded with more severe atrophy of the neocortex, the region of the brain containing a rich supply of nerve cells.

Although the study was small, and did not attempt to prove a causal effect, it supports previous evidence linking defects in B-vitamin metabolism with age-related dementia and Alzheimer's.  "Optimal folate concentration may in fact be higher in old age or when diseases such as Alzheimer's are present," commented the researchers.

Low folate levels can trigger a build-up of the amino acid homocysteine, which has been linked to higher risk of Alzheimer's and accelerated atrophy of the medial temporal lobe in Alzheimer's patients.

"There seems little doubt now that there is an association between the evolution of certain brain diseases associated with cognitive decline in the elderly and vitamin deficiencies associated with hyperhomocysteinemia," a related editorial resounded.

Although the full extent to which B-vitamin metabolism influences the actual causal mechanisms of dementia is still not clear, "the potential therapeutic options [implicated by these discoveries] are exciting", the authors posited.

The nuns provided a unique population sample to study because they all had similar long-term diet and exercise habits.  Researchers found strong evidence of biochemical individuality among the group, despite their similar lifestyle and eating habits.  Blood nutrient levels varied widely, reflecting differences in "drug-nutrient and disease-nutrient interactions or differences in the intake, absorption, and metabolism of the nutrients."

NOTE: As this study suggests, even people with similar diets may show striking differences in nutrient metabolism related to various physiological functions.  Assessing each patient is the best way to gauge the effectiveness of nutrient intervention strategies.

Sources:

Snowdon DA, Tully CL, Smith CD, Riley KP, Markesbery WR.  Serum folate and the severity of the atrophy of the neocortex in Alzheimer disease: findings from the Nun Study.  Am J Clin Nutr 2000;71: pp.993-8.

Weir DG, Molloy AM.  Microvascular disease and dementia in the elderly: are they related to hyperhomocysteinemia? Am J Clin Nutr 2000;71: pp.859-60.

9
Possible Osteoporosis - Osteopenia

Folate (folic acid) and the B-vitamins involved in homocysteine conversion (such as B12 and B6) may be beneficial in reducing the risk of osteoporosis because high levels of homocysteine are implicated in chronic diseases such as osteoporosis.

Recommendation 27 of 30    Return to Recommendation Summary ↑

Recommendation: Chlorella

45% - Useful

Chlorella pyrenoidosa, a freshwater single-celled green algae, is more popular in Japan as a regular supplement than vitamin C.  An estimated 5 million Japanese use this medicinal algae every day.  Chlorella's broad spectrum health benefits, amply researched by Japanese scientists, include the impressive fact that it contains 60% protein, including all the essential amino acids, and high levels of beta carotene and chlorophyll.

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Chlorella is being suggested for the following reasons:
1
Possible Cancer, General
2
Possible Hepatitis
3
Possible Diabetes Type II
4
Possible Mercury Toxicity (Amalgam Illness)

Using large doses of chlorella facilitates fecal mercury excretion.  After the intestinal mercury burden is lowered by other means, mercury will more readily migrate into the intestine from other body tissues where chlorella will aid in its removal.

5
Possible Gastric/Peptic/Duodenal Ulcers
6
(Less likely) Alzheimer's Disease

A study showed that among 50 people with Alzheimer's, aged 70-90, taking 6gm daily of chlorella for 6 months, 68% experienced either a stabilization or improvement in cognitive functions.

7
Confirmed Yeast / Candida Infection
8
(Less likely) Cirrhosis of the Liver
9
Confirmed Iron Deficiency Anemia
10
Possible Hypoglycemia
Recommendation 28 of 30    Return to Recommendation Summary ↑

Recommendation: Vitamin B6 (Pyridoxine)

41% - Useful

Alternative Names: Pyridoxine, or Pyridoxine HCL.

Vitamin B6 is an antioxidant nutrient that helps the body inhibit the formation of damaging free radicals.  Excess homocysteine causes atherosclerosis (thickening and hardening of the artery walls) and an adequate supply of Vitamin B6 will prevent the accumulation of this toxic metabolite.  B6 deficiency can weaken the heart muscle and raise serum cholesterol levels.

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Despite an overall recommendation for Vitamin B6 (Pyridoxine), there are reasons against it:
X
(Less likely) Congestive Heart Failure

High doses of B6 are not recommended for patients with coronary insufficiency.  [Sov Med (7): pp14-9, 1979 (in Russian)]

X
Confirmed Angina

High doses of B6 are not recommended for patients with angina.  [Sov Med (7): pp14-9, 1979 (in Russian)]


Vitamin B6 (Pyridoxine) is being suggested for the following reasons:
1
Moderate risk of Coronary Disease / Heart Attack

It is estimated that individuals with low vitamin B6 levels have a five times greater risk of suffering a heart attack than individuals with higher B6 levels.

2
Moderate risk of Stroke

Vitamin B6 at 150-200mg daily reduces platelet aggregation, and thus may help prevent ischemic (clotting type) strokes.

3
Confirmed Atherosclerosis
4
Possible Kidney Stones (Urolithiasis)

Vitamin B6 deficiency leads to an increase in kidney stones as a result of elevated urinary oxalate levels.  Vitamin B6 supplementation inhibits the production of oxalate in the body and can reduce elevated urinary oxalate in some stone formers who are not necessarily B6 deficient.

Recommendation 29 of 30    Return to Recommendation Summary ↑

Recommendation: Coconut

36% - Useful

The coconut well known for its great versatility, having many culinary, commercial, and industrial uses.  Virtually every part of the coconut palm – from the leaves to the fruits to the lumber – can be used and has value.  The historical usefulness of coconut can often be seen in its naming: Its Sanskrit name means "the tree which provides all the necessities of life"; its Malay name means "the tree of a thousand uses"; in the Philippines it is called "the tree of life".

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Despite an overall recommendation for Coconut, there is a reason against it:
X
Herpes Simplex Type I

People who have active herpes virus should not consume much – if any – coconut due to its high arginine content.  Arginine can aggravate herpes and bring on an outbreak.  They should also avoid any other substance high in arginine.  Coconut has been shown through both clinical trials and anecdotal evidence to have some anti-viral properties, but not against the herpes virus.


Coconut is being suggested for the following reasons:
1
Probable Hypertension (High Blood Pressure)
2
Possible Cancer, General
3
Possible Hypothyroidism
4
Possible Hepatitis
5
Confirmed Yeast / Candida Infection
6
Possible Hypoglycemia
7
Moderate risk of Gallbladder Disease

Coconut has been reported to help normalize gall bladder function over time.

Recommendation 30 of 30    Return to Recommendation Summary ↑


DISCLAIMER

This report does not replace a visit with a qualified, licensed health care professional; it is meant to facilitate finding out what is wrong and to suggest possible natural treatments, substances and products which have been used successfully for people with similar symptom and disease combinations.