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June/July 2014 • VOL. 13 NO. 3

Integrative Medicine: A Clinician’s Journal

Bioavailability of a Sustained Release Formulation of Curcumin • Yoga as Therapy for Neurodegenerative Disorders • Adrenal and Thyroid Supplementation Outperforms Nutritional Supplementation and Medications for Autoimmune Thyroiditis • Presenters 2014: Antonio C. Bianco, MD, PhD—Is T4 Enough for Patients With Hypothyroid Dysfunction? • Interview with Alan Goldhamer, DC: Water Fasting—The Clinical Effectiveness of Rebooting Your Body • Editorial: The Vilification of Cholesterol (for Profit?)


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June/July 2014 • VOL. 13 NO. 3

Integrative Medicine: A Clinician’s Journal www.imjournal.com

EDITORIALS 8

The Path Ahead—The Vilification of Cholesterol (for Profit?) Joseph Pizzorno, ND, Editor in Chief

64

BackTalk—When Words Collide Bill Benda, MD, Associate Editor

COMMENTARY 16

The US Medical Industry Turns Toward “Health Creation” … plus more John Weeks

ORIGINAL RESEARCH 24

Bioavailability of a Sustained Release Formulation of Curcumin Doddabele Madhavi, PhD; Daniel Kagan, PhD

CASE STUDY 33 Yoga as Therapy for Neurodegenerative Disorders: A Case Report of Therapeutic Yoga for Adrenomyeloneuropathy Charlene Marie Muhammad, MSHM, RYT500, CNS, RD; Steffany Haaz Moonaz, PhD 41

Adrenal and Thyroid Supplementation Outperforms Nutritional Supplementation and Medications for Autoimmune Thyroiditis Christopher Wellwood, MS, DC; Sean Rardin, MD

PRESENTERS 2014 20

Antonio C. Bianco, MD, PhD: Is T4 Enough for Patients With Hypothyroid Dysfunction? Interview by Craig Gustafson

VIEWPOINTS 52

Alan Goldhamer, DC: Water Fasting—The Clinical Effectiveness of Rebooting Your Body Interview by Craig Gustafson

EPTHECA 58 61

Conference Calendar Featured Products and Services

Table of Contents

Integrative Medicine • Vol. 13, No. 3 • June 2014

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June/July 2014 • VOL. 13 NO. 3

Integrative Medicine: A Clinician’s Journal www.imjournal.com

Editor in Chief Joseph Pizzorno, nd drpizzorno@innovisionhm.com IMCJ Associate Editors Jennifer C. Lovejoy, PhD, CNS

Sidney MacDonald Baker, MD

Darcy Vavrek, ND, MS

Free & Clear, Inc

Autism Research Institute

University of Western States

Tori Hudson, ND

Bill Benda, MD, FAAEM Senior Graduate Fellow, Program in Integrative Medicine, University of Arizona;, Big Sur Health Center; Hazel Hawkins Medical Center

Medical Director, A Woman’s Time Clinical Professor, Bastyr University, National College of Naturopathic Medicine, Southwest College of Naturopathic Medicine, Program Director, Institute of Women’s Health and Integrative Medicine, Research/Education Director, Vitanica

David Wickes, DC, FICC, Dipl ABCI University of Bridgeport College of Chiropractic (Bridgeport, CT)

IMCJ Editorial Board Lise Alschuler, ND, FABNO Naturopathic Specialists, LLC; Thrivers, LLC Jeremy Appleton, ND Nature’s Way Brands Phillip Barr, MD California Health and Longevity Institute Donald M. Blair, DDS, ND Bellevue, WA Jeffrey Bland, PhD, FACN, FACB Bastyr University; Metagenics, Inc O’Dane Brady, DC, MSc World Spine Care, Spine Research, LLC J. Alexander Bralley, PhD Metametrix Clinical Laboratory Andrew W. Campbell, MD Editor in Chief, Alternative Therapies in Health and Medicine Alan R. Gaby, MD Concord, NH Steve Given, DAOM, LAc American College of Traditional Chinese Medicine Elizabeth A. Goldblatt, PhD, MPA/HA Academic Consortium of Complementary and Alternative Health Care (ACCAHC)

Michael R. Lyon, MD Corey Resnick, ND Diplomate of the American Board of Obesity Integrative Health & Nutrition; Medicine; Adjunct Professor, University of Integrative Therapeutics British Columbia; Food, Nutrition and Health Mark Hyman, MD Jacob Schor, ND, FABNO Research Director, Canadian Center for Institute for Functional Medicine; Denver Naturopathic Clinic; Fellow, Functional Medicine; Medical Director, The Center for Mind-Body Medicine; American Board of Naturopathic Oncology; Medical Weight Management Centre The UltraWellness Center Associate Editor, The Natural Medicine Journal; Board Member and President, Douglas MacKay, ND Vice President, Scientific & Regulatory Loren D. Israelsen, JD Oncology Association of Naturopathic President, United Natural Products Alliance Affairs, Council for Responsible Nutrition Physicians; Board Member, American Association of Naturopathic Physicians Clyde B. Jensen, PhD Antonio C. Martinez, II, JD University of Western States; Oregon Attorney at Law Vivek Shanbhag, ND, MD(Ayur) YogaAyurveda.org; Natural Medicine Clinic Collaborative for Integrative Medicine; Robert Martinez, ND, DC, DABCO & Academy; Adjunct Faculty, Bastyr Association of Health Sciences Colleges Private Practice, Kirkland, WA University & MMI Ayurveda College and Universities Mary L. Hardy, MD Stiles Integrative Oncology Program at UCLA; Wellness Works

Claire Johnson, DC, MSEd, DACBSP National University of Health Sciences

David Matteson, MPH, MS, MPA, APR Early Edge Solutions, Nativis

Herb Joiner-Bey, ND Bastyr University; Barlean’s Organic Oils

Gerard E. Mullin, MD, MHS, CNS, CNSP, FACN Johns Hopkins Hospital

Robert H. Lerman, MD, PhD Boston University School of Medicine; Functional Medicine Research Center; Metagenics, Inc DeAnn Liska, PhD Sr. Director Nutrition & Scientific Affairs Biofortis, a Merieux NutriSciences Company Chongyun Liu, OMD, LAc Bastyr University Rick Liva, ND, RPH Connecticut Center for Health; Vital Nutrients

Patrick Hanaway, MD Institute for Functional Medicine

Andrew David Shiller, MD Integrative Rehabilitation Medicine, The Valley Hospital, Ridgewood, NJ

Stephen P. Myers, ND, PHD, BMed, FACNEM Southern Cross University, Australia

Pam Snider, ND, PhND(Hon) Bastyr University; Foundations of Naturopathic Medicine Project; National College of Natural Medicine

Paula J. Nenn, MD, ABIHM, MRCP(UK) Optimal Health and Prevention Research Foundation

Nancy Sudak, MD, ABIHM American Board of Integrative Holistic Medicine

David Perlmutter, MD, FACN, ABIHM Perlmutter Health Center

Kathie Madonna Swift, MS, RD, LDN Dietitians in Integrative and Functional Medicine; Kripalu Center for Yoga and Health

Lara Pizzorno, MA (Div), MA (Lit), LMT Editor, Longevity Medicine Review; Integrative Medicine Advisors, LLC; Salugenecists, Inc Ronald G Reichert, ND Canadian Center for Functional Medicine; Bioclinic Naturals

Melvyn R. Werbach, MD Tarzana, CA Jonathan Wright, MD Tahoma Clinic

Statement of Purpose

Integrative Medicine: A Clinician’s Journal® provides clinicians with peer-reviewed, scientifically accurate, practical information about the integration of conventional and natural medicine. Integrative Medicine: A Clinician’s Journal is indexed in CINAHL. The views expressed in this journal are those of the authors and not necessarily those of the publisher or its advertisers. Integrative Medicine: A Clinician’s Journal® (ISSN 1546-993X) is published 6 times per year (in February, April, June, August, October, and December) by InnoVision Professional Media, Copyright ©2014. Cover image used under license from Shutterstock.com, 2014 All rights reserved. No part of this publication may be reproduced in any medium or photocopied without written permission from the publisher. Individual subscriptions to Integrative Medicine: A Clinician’s Journal must be prepaid in US dollars only and are available for $85 for one year. To order or for subscription address changes, write, fax, or call: Integrative Medicine: A Clinician’s Journal, PO Box 11292, St. Paul, MN 55111 • Toll Free: (877) 904-7951 • Phone:( 651) 251-9684

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Integrative Medicine • Vol. 13, No. 3 • June 2014

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Managing Editor Craig Gustafson • cgustafson@innovisionhm.com

Associate Editor Michael Miller • michael@innovisionhm.com

Creative Director Randy Palmer • rpalmer@innovisionhm.com

Editorial Assistant Katie Tholkes • ktholkes@innovisionhm.com

Science Editor Peggy Wright

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Subscriptions Innovision Health Media PO Box 11292, St. Paul, MN 55111 (877) 904-7951 www.imjournal.com

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Integrative Medicine: A Clinician’s Journal (IMCJ) - June 2014