A Bi-Monthly Newsletter A Look Back at ACAM’s Spring 2012 Education Summit Advanced Chelation Therapy speaker John Gannage, MD reflects back on his experience in San Diego.
Number 16 - June 2012 Unwelcome Ulcers Holly Lucille, ND, RN shares natural, safe and user-friendly options for treating ulcers.
ACAM would like to extend a sincere thank you to all of those who joined us in sunny San Diego for our Spring Education Summit in May. We welcomed over 300 physicians from around the world for 4 days of learning and relaxation. Additionally, over 50 companies came to share the best research and innovation available to integrative physicians and their patients.
Selecting a Quality Compounding Pharmacy
Does Your Practice Offer IV Hydrogen Peroxide Therapy?
The Pharmacy Compounding Accreditation Board shares advice on finding a quality pharmacy to work with.
W. Campbell Douglass III, MD, MS is looking for physicians practicing IV Hydrogen Peroxide Therapy to include in his new book.
Classifieds Browse our Classifieds section to see the various opportunities available for integrative medicine practitioners. Positions available for MDs, DOs, and an LVN!
The ACAM Executive Oﬃce is currently planning our Fall 2012 conference which will be hosted at Planet Hollywood in Las Vegas, NV November 14th - 18th and look forward to seeing you there! ACAM is also looking to the future and hope to have more information to share about other events in the coming months.
education so we can ensure we continue to exceed expectations. Please take our events related survey at 4ac.am/m4qdUe to make sure your voice is heard and to qualify for complimentary memberships, registrations, and prizes!
We would appreciate any information you may be able to share about your expectations while traveling to receive
Megan Marburger, Marketing & Events Manager
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The View From San Diego Reflecting Back by John Gannage, MD
Chelation Therapy (TACT) was being conducted, further piqued my interest in understanding lead’s role in various health conditions. Looking at lead’s biokinetics in the human body, it became apparent through my research that menopause is a time when lead mobilizes from bone storage in a woman, with increasing cholesterol (and uric acid) I suspect acting as compensatory defense mechanisms. The body is attempting to regulate and protect itself in the female at this time of transition and oxidative stress, which can also elevate blood pressure. The increased risk of postmenopausal women toward heart disease might be attributable to lead, not hormone deficiency - and the intervention that I propose needs to be examined is lead removal, or using antioxidants and other nutrients to manage its negative eﬀects. Hopefully TACT will provide some answers about the clinical eﬀects of chelation therapy in women, and later studies might unravel the mechanism.
studied extensively in the fields of Clinical Nutrition and Functional Medicine. He maintains an active medical license in good standing from the College of Physicians and Surgeons of Ontario.
Dr. Gannage founded and is currently the Medical Director of Markham Integrative Medicine, where he has been emphasizing prevention and treatment of chronic disease through nutrition, detoxification and reduction of oxidative stress, while addressing the underlying cause of disease using biomedical modalities, since 1998. In addition, Dr. One of my favorite American cities, it was a Gannage has been administering Chelation pleasure to return to San Diego for the first Therapy since 1999, in which he is specifically time in 10 years. Attending ACAM’s Spring trained, and has also received training in conference, the flashbacks made their Oxidative Medicine and Lipid Exchange appearance. Therapy. He is a Defeat Autism Now clinician, The Westin Hotel Gaslamp, the site of the 4 and has membership in the Ontario Society of day medical conference, is nicely placed, with Physicians for Complementary Medicine access to the downtown core and restaurants, (OSPCM), the American College for and not far from Seaport Village and Petco Advancement in Medicine (ACAM), the Park. Canadian Society of Orthomolecular Medicine (CSOM), the Ontario Medical Association As I shared at the beginning of my lecture, (OMA) and the Canadian Association of alluding to the aforementioned flashbacks, I "Looking back" is an opportunity for historical Physicians for the Environment (CAPE), for recalled that in 1989 I visited San Diego for reflection and learning. Seeing the which he is an Eco-Leader. Dr. Gannage is a one month as a fourth year medical student. I interconnections is part of the fun. principal investigator for TACT (the Trial to signed up for an elective in Preventative Assess Chelation Therapy). He regularly Cardiology at UCSD La Jolla. At that time, the About Dr. Gannage: educates the community and other research being conducted linked menopause John practitioners through public presentations, has and increased risk of heart disease in women Gannage, MD appeared on radio, and written numerous to cholesterol elevations that can occur at graduated articles for publication. menopause. The intervention was to initiate from Hormone Replacement Therapy and monitor University of Unwelcome Ulcers: A Usercholesterol levels. I was young and green Toronto Friendly and Safe Option! and more interested in the beach, visiting my medical sister and the San Diego area than the idea of school in 1990 by Holly Lucille, ND, RN giving hormones to women to change lipid and completed his residency in Family blood markers. The hypothesis wasn’t proven Medicine at the University of Ottawa. At the - HRT didn’t lower the women’s cholesterol University of Toronto he was recognized with eﬀectively and that aspect of the program’s the Medical Society Award for Outstanding research died. Contribution to the Faculty of Medicine, Fast forward 10 years to 1999 - my first ACAM where he earned Honors in 3 years and was President of the Men's Athletic Association conference, where my passion for learning while serving on Student Council. In 2000 he true prevention and addressing underlying cause continued to be fed, having trained then was voted Markham's Best General Practitioner, and later served as Medical in chelation therapy. Now I was attending I have had an increase in patients complaining Director of Meadowbrook Sport Medicine training sessions that particularly held my of and or being diagnosed with ulcers. Here is and Rehabilitation Clinic in Markham. He has interest! The studies published in the latter a user friendly, safe and eﬀective way to deal obtained two diplomas in Homeopathy, and part of the last decade, as The Trial to Assess with them!
Peptic ulcers are sores or eroded areas that form in the lining of the esophagus, stomach or small intestine. Ulcers that occur in the stomach are known as gastric ulcers. Ulcers occurring in the duodenum (the beginning of the small intestine) are known as duodenal ulcers. Peptic ulcer disease, in which remissions and exacerbations of ulcers occur, represents a chronic health problem. Signs and Symptoms Some individuals with peptic ulcers don’t experience any symptoms, while others experience varying amounts of pain. The pain associated with an ulcer may: • Be described as dull and gnawing, or burning and crampy • Come and go, for several days or weeks • Occur two to three hours after eating • Occur in the middle of the night • Be relieved by food (e.g. milk) Other symptoms include weight loss, poor appetite, bloating, burping, nausea and vomiting. Causes Most peptic ulcers are known to be caused by a bacterial infection. Helicobacter pylori (H. pylori) is the bacteria implicated in the vast majority of cases. Use of over-the-counter and prescription painkillers known as nonsteroidal anti-inflammatory drugs (NSAIDs) can also cause peptic ulcers. Other medications are currently being studied for their role in peptic ulcer development. DGL: A Natural Solution An extremely eﬀective natural supplement for ulcers is a form of licorice root that has been specially processed. Deglycyrrhizinated licorice (DGL) is an important component of a complementary natural health approach – and clinical studies prove it works! DGL is a special extract of licorice from which the glycyrrhizin molecules have been removed, leaving biologically active flavonoids. The value of DGL over other forms of licorice is that it eliminates adverse eﬀects associated with long-term use of very high doses of conventional licorice (including sodium and water retention, high blood 4
pressure and low potassium levels.). Licorice root extract stimulates the release of secretin, which has a protective eﬀect on the gastric mucosa. The body’s production of secretin by such natural agents may play a significant role in their mucosal protective action. In fact, researchers attribute the anti-ulcer eﬀect of licorice root extract to its unique ability to stimulate the body to release endogenous secretin, which helps to rebuild the stomach or intestine’s protective lining. Use of DGL addresses the underlying factors and promotes true healing by stimulating the normal defense mechanisms that prevent ulcer formation. Specifically, DGL improves both the quality and quantity of the protective substances that line the intestinal tract. Taking DGL Look for a chewable form of DGL, as its ingredients should mix with saliva to promote release of compounds that stimulate the growth and regeneration of stomach and intestinal cells. For treatment of peptic ulcers, take 760 to 1,520 mg of DGL (or 400 mg of an extrastrength extract) between, or 20 minutes before, meals. Use for eight to 16 weeks. About Dr. Lucille: Dr. Holly Lucille, a.k.a. “Dr. Holly,” is a nationally recognized and licensed naturopathic doctor, an educator and a natural products consultant. Dr. Holly is also the author of Creating and Maintaining Balance: A Women’s Guide to Safe, Natural, Hormone Health. An acclaimed expert in the field of naturopathic medicine, Dr. Holly lectures throughout the nation on a variety of natural health topics. Her appearances include national media programs and networks including The Doctors, Lifetime Television for Women, Montel Williams, PBS’s Healing Quest
and Discovery Fit & Health channel. She is regularly quoted as an expert in both consumer and peer journals. In 2007 Dr. Holly was listed in Time Magazine’s “Alt List” as one of the “Top 100 Most Influential People.” Dr. Holly believes in the science, art and mystery of healing and has a heartfelt passion for the individual wellness of all people. Built on this foundational belief, Dr. Holly’s private practice in Los Angeles, Healing from Within Healthcare, focuses on comprehensive naturopathic medicine and individualized care. Outside of her practice, Dr. Holly holds a position on the American Association of Naturopathic Physicians board of directors and she is also on the faculty of the Global Medicine Education Foundation, a teaching organization aimed at understanding the common threads of spirituality, ecology, culture, relationships and community inherent in all approaches to healing. Dr. Holly is the past president of the California Naturopathic Doctors Association where she worked to ensure the availability of safe naturopathic health care by spearheading a lobbying eﬀort to have naturopathic doctors licensed in the state of California. She has also worked with the LA Free Clinic providing health education, promotion and prevention in the public health system and recently was awarded the “SCNM Legacy Award” for her “contribution to the advancement and development of the field of naturopathic medicine.” Dr. Holly graduated from the Southwest College of Naturopathic Medicine in Tempe, AZ where she received the prestigious “Daphne Blayden Award” for her “commitment to naturopathic medicine, academic excellence, compassion, perseverance, a loving sense of humor and a positive, supportive outlook.” In her “oﬀ time” Dr. Holly enjoys being with her family, riding her motorcycle through the mountains and along the beaches of Los Angeles, as well as playing various instruments and touring in her band.
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Including Complete Instructions for Sterile Compounding of Preservative-free Nutrients and Allergens
py Training Chelation Thera April 6-7, 2011 Minneapolis, MN iMosaic 2011
Planners: Lyn Patrick, ND MD Richard Nahas, Jessica Tran, ND
Selecting a Quality Compounding Pharmacy by Joe Cabaleiro R.Ph. - Executive Director for Pharmacy Compounding Accreditation Board (PCAB) www.pcab.org
Practitioners of integrative medicine frequently rely on compounding pharmacies for medications that are not commercially available. Examples of these medications may include hormone preparations and or vitamin injections. One question many providers have is: “How do I select a quality compounding pharmacy?” This article will provide you with some tools for selecting a quality compounding pharmacy.
sets quality standards and serves as a voluntary accrediting organization for compounding pharmacies. PCAB verifies that accredited pharmacies comply with quality assurance, quality control, and quality improvement standards through the use of on-site assessments performed by experienced pharmacist-surveyors. Using PCAB accreditation as one of your compounding pharmacy selection criteria will assure that the pharmacies you are considering have “gone the extra mile” to obtain independent validation that they comply with a set of nationally accepted quality standards. A list of PCAB accredited pharmacies is available at http:// www.pcab.org. Does the pharmacy test finished preparations? Compounding medications is a complex process that can involve many critical steps. Practitioners that order or use compounded preparations should verify that the compounding pharmacy they use has a program for testing samples of their finished preparations. For non-sterile medications such as capsules, this includes potency testing. For sterile preparations, this testing should include evaluation of potency, sterility and endotoxins. Make a list of the most commonly used compounded preparations used in your practice and ask your compounding pharmacy how it verifies the quality of each. The pharmacy should be able to provide you with specific reports.
Does the pharmacy have a functioning recall mechanism? If the pharmacy has to recall a lot of a compounded preparation, it must have a process in place to identify which patients and The first thing you should always determine: Is practices received the lot number. If your the pharmacy licensed in your state? This may practice has lot numbers of a compounded seem like a basic question, but most states preparations available, ask the pharmacy require that pharmacies be licensed in each which provided them to list which lot numbers state they do business in. Therefore, your of the medications your practice has received. practice may incur liability if it orders or uses The response should match the lot numbers medications from a pharmacy that is not of the medications you have on-site. licensed in the state your practice is located in. Does the pharmacy's facility meet USP This can often be independently verified on requirements? The United States your state’s Board of Pharmacy web site. Pharmacopeia publishes written standards for Is the pharmacy accredited by the Pharmacy medicines and their ingredients. Included in Compounding Accreditation Board? PCAB these standards are chapters known as “USP 6
<795>” and “USP<797>” that outline conditions and practices non-sterile (<795>) and sterile compounding (<797>) pharmacies should follow to ensure and verify the quality of their preparations. Ask the pharmacy if they are USP<795> and USP<797> compliant.
An Excellent Opportunity for ACAM Physicians Practicing IV Hydrogen Peroxide Therapy
World renowned physician W. Campbell Douglass III, MD, MS is writing a second edition of his successful book Hydrogen Peroxide: Medical Miracle, to be published in both hard copy and eBook formats. The new book will have an updated list of physicians that oﬀer intravenous hydrogen peroxide therapy. Additionally, it is anticipated that the electronic version will contain links to the various practice websites that are listed. If you are interested in having your practice included in the book, please contact Dr. Douglass. Dr. Douglass also invites you to provide case reports of patients you have treated. Such reports would be presented as coming from your practice, but without patients’ names to ensure patient privacy is maintained. Interested parties please contact Dr. Douglass at your earliest convenience. Phone: 888.317.6767. Email: firstname.lastname@example.org
Classifieds Fairfax, Virginia Integrative Medicine Practice Seeks MD/DO Looking for a full-time MD/DO to join a busy Fairfax, Virginia practice that provides functional medicine therapies, Bioidentical Hormone Replacement Therapy, chelation therapy, IV nutrients, etc. A portion of the patients served have Lyme and other tick borne diseases. If interested please contact Dr. Zackrison at 703-203-0993 or email@example.com
LVN Needed in Los Angeles Needed: Experienced LVN to work in a beautiful holistic practice in Brentwood. You will have autonomy and be in charge of the IV room - Ordering IV supplies and keeping track of IV room inventory. Starting vitamin drips will be your main duty. Years of experience is a must. Please do not apply if you are not good at starting IVs or finding veins. Must know how to draw blood or start an IV on elderly and children as well. IV certificate is required. Holisitic background is a plus. Being familliar with specialty labs such as Genova, Doctor's Data, MRT, etc is a plus. Being able to check out patients and explain treatment protocols and supplements is a plus but not a requirement. Potential for growth and learning is great. We are looking for an empathetic, kind, caring, and genuine team player. Integrity, being on time, and energetic is a must. Please DO NOT apply if you don't have lots of IV experience. Interested applicants please email: firstname.lastname@example.org
Integrative MD Needed in Napa, California Integrative, complementary health practice looking for qualified MD associate to practice with board certified internist who specializes in clinical nutrition, metabolism, bio-identical hormones, immune modulation and Lyme Disease. The practice also consists of an Osteopathic Physician and Naturopathic
Doctor, Nurse Practitioner, Nutritionist and Registered Nurses who provide skin to core health care, advanced diagnostics and supplementation for children and adults of all ages. This is a unique opportunity to learn and practice integrative medicine with an experienced, nationally known alternative health physician, in an established wellcare oﬃce in beautiful Napa Valley. This position is part time to start with the possibility of expansion. Experience is preferred, but will train the right candidate. Knowledge of supplements, herbs and botanicals and continuing education in integrative medicine a plus. Interested candidates can email email@example.com for more information.
Medical Oﬃce Space for Lease in Beautiful Redondo Beach, California
Rent: Percentage or pro rated based upon number of days per week desired. Great cross referral potential with Dr. Peters, Spectrum Athletic Club and other health practitioners. Prefer a practitioner with at least a few years of experience and an established practice. However, we are willing to consider newer practitioners with a networking and marketing plan. Oﬃce Amenities: • Reception area • Kitchenette • Large exam room • Ample free parking Available now. To apply, please fax letter of intent and CV to (310) 373-7840. Contact Brighid Desmond, Administrator for Nourishing Wellness Medical Center / Cenegenics Aﬃliate 819 N. Harbor Dr., Suite 310 Redondo Beach, CA 90277 www.nourishingwellness.com (310) 373-7830
MD Student Seeks Externship With an ACAM Physician
Looking for progressive, integrative physician to sublet exceptional oﬃce in Redondo Beach overlooking marina and ocean. Prefer D.O., integrative or functional health specialist. Turnkey situation: sublet from thriving aggressive age management practice with successful Cenegenics trained physician, Dr. Allen Peters and Holistic Registered Dietician, Jeanne Peters. All staﬀ oﬃces have high ceilings, large windows with southern exposure for plenty of natural light and great views of the marina. Experienced and friendly oﬃce staﬀ, all utilities, telephone/fax/copier/ scanner, oﬃce supplies and janitorial service included.
I am an ND who practiced for four years in Vancouver, Canada, then went on to medical school to obtain my MD. I am now seeking an internship/externship with an ACAM physician preparatory to proceeding through MD residency and anticipated entry into an ACAM practice. I would appreciate hearing of any available opportunities. Available immediately and able to travel to your location. Please contact: Dr. Rebecca G. Muttart 1669 Starrs point road Port Williams, Nova Scotia, Canada B0P 1T0 Phone: 902-691-5661 Email: firstname.lastname@example.org
The Allergy Issue - Number 5 - July/August 2010 --
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