adrenalfatigueseminar020713 130221084409-phpapp02

Dr. Vivian DeNise and Chef Elisa Haggarty

A holistic medical center Full-service

www.patientsmedical.com

Discover health, rediscover vitality Focus on the root cause Integrate modern medicine, holistic

practices, and natural supplements


Our goal

Promote healing and prevent disease


Physicians collaborate to approach each patient holistically.


Result: Gain health and nutritional wisdom that can

be applied for years to come.


Founder, Dr. Warren Levinbegan practicing his ground-breaking holistic

protocols in 1974.


Conditions Treated Chronic Fatigue Syndrome Multiple Sclerosis Osteoarthritis (OA) Rheumatoid Arthritis (RA) Diabetes Heart disease Crohn’s disease, IBS, IBD Alzheimer’s disease Lyme disease Thyroid disease Auto-immune diseases Many other secondary medical conditions


Staff Medical Doctors

▪ Internal Medicine▪ Family Practice▪ Gynecology▪ Osteopathy▪ Oncology▪ Alternative Pain Management▪ Pediatrics

Nutrition Kinesiology Reflexology and Reiki Oriental Medicine and Acupuncture Homeopathy


Integrative Medicine


Please tell us what you liked and what you would like to see from us in the

future!


Introducing our speakers:

Vivian DeNise, DOABAARM, FAARMIntegrative Internal MedicineHolistic Pediatrics


Completed her medical degree

at New York College of

Osteopathic Medicine

Certified in Integrative Medicine

with the American Academy of

Anti-Aging Medicine (A4M)


Specialties include Balancing Adrenal Function Detoxification Hormonal Imbalances Nutritional Deficiencies Thyroid Disorders Weight Loss Gastro-Intestinal Problems Women’s and Men’s Wellness Pediatrics And many more!


Allergies Anxiety Arthritis Asthma Cancer Chronic fatigue Chronic pain Depression Fibromyalgia Headache & migraine Hypertension Immune dysfunction Infertility Irritable bowel syndrome Osteoporosis Stress disorders Weight gain Weight loss


Introducing our speakers:

Elisa Haggarty of Culinary FarmacyCertified Holistic Health Coach &Natural Foods Chef


Received Professional Holistic Health Coaching training at The Institute for Integrative Nutrition

Training at The Natural Gourmet Institute


Studied over 100 different dietary theories

Uses food, stress management and other techniques to help women live an abundantly rich life!


… but you may not know why.Or how to start feeling good again.


Our philosophy is to determine the root cause of the symptom, so that we can help you get

back on track.


Feeling the need to sleep.


Lack of energy and motivation usually in response to: physical exertion emotional stress lack of sleep boredom “other”


Fatigue can be a single symptom, a cluster of symptoms or a clinical

syndrome such as chronic fatigue syndrome or cancer.


Symptoms of fatigue can be divided into 3 separate categories: Physical Cognitive Emotional


Reduced activity Low energy Tiredness Decreased physical endurance Increased effort with physical tasks and

with overcoming activity General weakness Heaviness, slowness, or sluggishness Non Restorative sleep Sleeplessness


Decreased concentration Decreased attention Decreased mental

endurance Slowed thinking


Decreased motivation or initiative Decreased interest Feeling overwhelmed Bored or “low” Aversion to effort


All these symptoms can overlap making it difficult to disentangle the complex

of “co-morbidities”.



Fatigue

OccupationalDiseasesEnvironmental

Vitamin and

Mineral DeficienciesPsychological

Medications Physical


Infectious

Rheumatologic

CancerHeart Disease

Neurologic

Endocrine


Diabetes

Hypoglycemia

Hypothyroidism

Adrenal Fatigue


A phenomenon due to oxidative stress and mitochondropathy

Oxidative stress occurs at the cellular level

Imbalance between free radicals and anti-oxidants


Infectious Chronic Fatigue Syndrome

Fibromyalgia

Lyme Disease

Hepatitis C

HIV / AIDS


Fatigue must be present for ≥ 6 months A decrease of functional activity and somatic symptoms and

pain not attributable to a specific diagnosis or disease In addition at least 4 of the following must be present Sore throat

Impaired memory or cognition

Un-refreshing sleep

Post-exertional fatigue

Tender glands

Aching stiff muscles

Joint pain

Headaches


Central Nervous and Hormonal Imbalance

Imbalance in neurotransmitters

Cortisol Deficiency

Disturbance of Circadian Rhythms Infections Immune System Abnormalities

Allergies

Is defined as chronic diffuse pain in absence of

inflammatory or structural musculoskeletal abnormalities. In

addition, fatigue, sleep and mood disturbances

are also present.



4 Major Categories1. Physical Stress2. Chemical Stress3. Thermal Stress4. Emotional Stress

1. Overworking or shift work2. Lack of sleep / insomnia3. Athletic over-training


40 million people in the US have some kind of problem with sleep

Accounts for more than 50% of doctor visits each year Affects 25-40% of all children and adolescents


Chronic stress Caffeine Carbohydrates before

bed Restless Leg Syndrome

(RLS) Sleep Apnea Alcohol or Drug Abuse


Not only causes fatigue but also Deficits in memory Decreased concentration Depressive mood Irritability Decreased libido or Erectile Dysfunction

(ED)


In one study, Severe Fatigue was reported by 11% of Adolescents in the 11-14 year old age 17% of the 13-16 year olds


Environmental pollutants such as

Insecticides and Pesticides

Heavy Metal Poisonings such as Mercury, Aluminum

Food Additives and allergiesVitamin and Mineral DeficienciesMedically prescribed drugs


Eating fish or shellfish Dental work such as Mercury amalgams Breathing contaminated vapors or skin

contact with: antiseptics, bactericides, batteries, cosmetics, fabric softeners, floor wax and polish, paints, tattoo inks, perfumes, etc.


Aspartame = AsparticAcid + phenylalanine + methanol

Accounts for > 75% of adverse reactions to food additives reported to FDA.


Numbness Muscle spasms Weight gain Rashes Depression Fatigue Irritability Tachycardia Insomnia

Visual disturbances Hearing loss Palpitations Headaches/migraines Dizziness Seizures Nausea


Some common deficiencies include Iron deficiency (anemia) B12 deficiency


B12 deficiency may cause Muscle weakness Fatigue Tingling of extremities Mental Fogginess Memory Problems Mood Swings Feeling of apathy Lack of motivation


Lack of Vitamin B5 (Pantothenic Acid) can lead to adrenal exhaustion and ultimately to

destruction of the adrenal glands.


Caffeine Synthetic Estrogen

supplementation* Sleeping pills

*Synthetic estrogen is NOT the same as Bio-Identical Hormone Replacement Therapy.


Brewer’s Yeast Calf Liver Chicken Liver Peanuts Split Peas Pecans


The adrenal glands are the second biggest store of Vitamin C in the body.

If there is an insufficient amount of Vitamin C, there will be insufficient amounts of adrenal hormones made, leading to immune deficiencies.


Statins such as Lipitor, Crestor deplete CoQ10 Oral contraceptives Antidiabetics such as the

Sufonylureas, Biguanides, Metformin Anti Hypertensives: Hydralazine, Thiazides, B

blockers, Clonidine, Methyl dopa Psychotropics: Phenothiazines, Tricyclic

Antidepressants, Haloperidol


Meloncholic depression is associated with hypercortisolism secondary to CRH

Atypical Depression is associated with pathologic reduction of mediators and a decrease in the hypothalamic CRH


Your Resiliency Energy Endurance Your Very Life

…depends on your adrenal health.


Secretes Epinephrine (adrenaline) Norepinephrine

These are secreted in crisis situations.



Zonareticularis

DHEA (S)

Zonafasiculata

Cortisol

Zonaglomerulosa

Aldosterone


Hypothalamus

AnteriorPituitary

Adrenal Cortex

CRH

ACTH

Cortisol

-

Essential for maintaining blood sugar levels in the proper balance

Powerful anti-inflammatory Decreases the effect of white blood cells Direct effect on the heart and blood pressure Influences behavior, mood, excitability Regulation of adrenal sex hormones


Difficulty in awakening in the morning Lack of energy Increased energy to do everyday tasks Decreased sex drive Decreased ability to handle stress Increased time to recover from illness, injury or

trauma Light headed when standing up quickly Mild depression Less enjoyment or happiness with life


Increased PMS Symptoms increase if meals are skipped or

inadequate Thoughts less focused, more fuzzy Memory less accurate Decreased tolerance Don’t really wake up until 10:00AM Afternoon low between 3:00 and 4:00PM Feels better after evening meal Decreased productivity


A careful history and physical from a physician

Blood Tests Salivary tests


Proper amount of sleep Proper nutrition including a lot of fresh

vegetables, fruits, nuts and legumes Meditation, Yoga, prayer etc. for stress relief Mild to moderate exercise


Vitamin C B complex Ashwaganda Carnitine Rhodiola Ginseng

Cordyceps CoQ10 Lipoic Acid N-acetylcysteine Omega 3


We’ll address questions about Dr. DeNise’s fees and insurance policies

towards the end, but now is the time to ask your adrenal

fatigue questions!



“Let food be thy medicine and medicine be thy food” Hippocrates


• Health started for me with a bout of depression and anxiety.

• I learned to question the advice given to me and the prescriptions handed to me.

• No one in the medical community inquired about my diet- my lifestyle.

• I encourage you to find out what works for YOU and never doubt that food has an amazing capacity to heal us.

www.culinaryfarmacy.com

Individual Heath Coaching Programs 4 Week Sugar Boot Camp Health Supportive Cooking Classes Workshops/Cooking Demos 10 day Whole Foods Winter Detox

*Ingredients to success: whole foods cooking, local, seasonal, fresh, plant based, cleansing and mind set shifts


Food has a profound capacity to both cause sickness or promote health.

Everyday, 3 times a day, and over 1,095 times a year we have the ability to change the expression of our genes.

The most essential component of health, is restoring energy…the naturally occurring energy that our adrenal glands provide.


SUGAR Consuming foods you are allergic/sensitive too

(corn, yeast, wheat/gluten, dairy, eggs, soy, alcohol are the top offenders)

Stimulants (coffee, chocolate or cacao) Refined and processed foods = nutrient zappers Stress Toxic environments


Ingredients 2 heaping tablespoons of cashew butter (can

use almond butter) 1 tbs tahini 1 heaping tablespoon of carob powder 1 tablespoon of coconut oil 1 tbs coconut nectar or natural sweetener 3/4 cup coconut flakes dash of Himalayan sea salt 2 tablespoon of hemp seeds or flax seeds Cinnamon to taste 1/4 cup sesame seeds for coating



All you need is a food processor, or high speed blender

Regulating blood sugar with balanced meals it the key to adrenal health.

My formula for optimal blood sugar success (on the plate)

FAT, FIBER & PROTEIN = stable blood sugar and less adrenal stress

Fat: tahini, coconut oilFiber: hemp seeds, flax seeds, sesame seedsProtein: almond/cashew butter, hemp & flax seeds


Don’t believe the hype that fat is bad or even that saturated fats will lead to coronary heart disease.

Fat does not make you fat (hint…sugar is the most common culprit in weight gain).

Fats, and especially saturated fats are essential for blood sugar balance and hormone regulation.

Fat breakdown & assimilation happens in the small intestine (gut) and so it takes the longest to digest.


Is a Medium Chain Fatty Acid which help to inhibit the growth of yeast (candida) and they not stored as fat in the body.

MCFA’s create heat or thermogenesis in the body and boost metabolism.

MCFA’s help boost immunity. It has Lauric acid and is found in breast milk.

MCFA’s are needed for proper utilization of the essential fatty acids! They work in tandem!

The heart draws on the MCFA’s in times of stress.


A really great alternative to chocolate. Why avoid raw cacao you ask?

Cacao is a stimulant-containing theobrominewhich is a relative of caffeine.


• When rejuvenating the adrenals, we want to remove stimulants

• Carob is stimulant free, high in calcium, magnesium, Vit. A and D.

Both very high in Omega 3 fatty acids which are anti-inflammatory.

Both have dietary fiber (flax more so) and both have protein.

Using hemp and flax seeds helps make your meals/snacks more nutrient dense.


Your adrenal glands keep you hydrated. If you are constantly thirsty- that is a sign you are off balance and you have weak adrenals.

Salt (unrefined Himalayan or Celtic) helps to rehydrate your cells, electrifies your cells and contain countless trace minerals.


If you want to take control of your health, naturally- all you have to do is ask.

I am offering each of you a free one hour health breakthrough consultation!

Find out how to create your unique culinary farmacy !


It’s time to nourish your adrenal glands! Value? Renewed sense of health Improved energy and mental clarity Boost immunity Become a culinary master of clean eating Kick cravings Feel more rested, balanced, leaner


What you get! Accountability and expert guidance Access to a private Facebook group for support 10 day Meal Plan (guess work taken care of!) Resources Packet shopping list and reminders 3 online tele-seminars (recorded mp3 files) Options for taking the detox at your pace Video food demonstrations Recommended supplement list Top 5 ways to detoxify beyond food


Normal Registration rate $197

For YOU: $147Tonight: $127

Nourish your adrenals without the stimulants, sugar, and decrease inflammation by removing

allergens like: wheat/gluten/soy/dairy!


Questions?Ask me now!


Get started TODAY by scheduling your

appointment with Dr. DeNise.

Use your coupon today!


Please tell us what you liked and what you would like to see from us in the

future!


Balance Your Hormones – Balance Your Life!Dr. Harris explains how hormone imbalance can make your sick, tired and CRAZY! Learn how all-natural Bio-Identical

Hormones work and why she recommends them.Wednesday, February20th at 6:30pm

www.patientsmedical.comwww.patientsmedical.com

Come See Our Holistic OphthalmologistDr. Ayman Matta will be seeing patients on

Friday, February 22nd in the afternoon.See one of our staff members for details and scheduling.


Just for MEN: Boost Your Mojo NaturallyDr. DeNise and Nutritionist/Personal Trainer, Judy Pentaexplain how to improve your focus, physique, libido and

energy without dangerous OTC or prescription drugs. Tuesday, March 19th at 6:30pm

www.patientsmedical.comwww.patientsmedical.com

Are You Suffering from Hair Loss?Get a free hair/scalp evaluation and stem cell therapy consultation with

Dr. Paul A. DreschnackBy Appointment Only



Dr. Rashmi Gulati,

Medical Director

Dr. Kamau

Kokayi, Holistic and

Chinese Medicine

Dr. Marcia A. Harris

Holistic GYN and

Internal Medicine

Dr. Stuart Weg,

Alternative Pain

Management

Dr. Vivan

DeNise, Integrative

Internal Medicine and

Peds

Dr. Eileen DiFrancesco

PsychopharmacologyDr. Gino Bottino

Holistic Oncology

Dr. Paul A. Dreschnack

Plastic SurgeryDr. L. Deanna Howard

Holistic GYN

Dr. Victor I. Rosenberg

Plastic Surgery


To get more information or to schedule an appointment,

call 212-679-9667 or email [email protected]

adrenalfatigueseminar020713 130221084409-phpapp02

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