Detox Deconstructed-The Saguil Approach

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Enrique Saguil, M.D.

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

Nutrition

Grounding

Movement

DrRic

The First Health Approach

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Your Community of Care

Ric Saguil, MDJason Gruss, MDTom Jordan, RD

Katrina Christie, LCPCJennifer Green, NDJoe Musolino, DC

Emery Paredes, PTYu Zhu, MD China

You

What stops us from regular E S P -“Distractions”

Senate Select Committee on Nutrition and Human Needs

• “….During this century, the composition of an average diet has changed radically. Complex carb, fruits, veg and grain which were the mainstay now play a minority role. At the same time, fat and sugar composition have risen to the point where these dietary elements alone now comprise 60% of the total caloric intake…..”

..that was from 1977!!

The McGovern Committee

Bob Dole and George McGovern

Detoxification

• Found in many cultures, originally associated with purging impurity from the body

• With religion (Lent, Ramadan, Yom Kippur) it is associated with enlightenment.

• Modern proponents suggest a reset of the body function in addition to creating a feeling of energy.

• Shatkarma….the ancestor of “detox in a box”

Shatkarma

1. Neti2. Dhauti

3. Nauli

4. Basti5. Kapalbhati6. Trataka

A process of cleansing and

purifying the nasal passages.A series of cleansing techniques divided into three(1 internal (2 head (3 thoracic

Massaging and strengthening the abdominal organs

Washing and toning the large intenstine

Breathing technique for purifying the frontal brain

Intense gazing at one point or object to develop power of concentration

Neti

• Neti pot filled with room temp water and salt (one tsp per 0.5 L water)• Feet apart, lean forward, insert gently, elbow

up and pour until ½ container is empty gently blow mucus.

• Repeat to other side• Dry nostrils alternate nostril 10 breaths

standing, leaning right leaning left, leaning

Varisara Dhauti

• Light semi liquid meal night before• Khichari (white rice/mung dal, clarified butter

with a little tumeric (no salt)• Eat at the end of practice, after 45min of rest,

again later in the day. • 2 glasses warm salty water aqap then 8 asana• Repeat 3x and attempt BM• Water again aqap followed by 8 asana

The five asana activate peristalsis and enhance the cleansing process-open the pyloric sphincter-open the ileocecal sphincter-open the anus

Nauli

• Madhyama Nauli

• Dakshina Nauli (right isolation)

• Vama Nauli (left isolation)

Basti

• Jala Basti-Yogic enema• Sthal Basti-dry yogic enema• Moola Basti-anal cleansing

Kapalbhati

• Vatkrama kapalbhati (air cleansing)• Vyutkrama kapalbhati (sinus cleansing)• Sheetkrama kapalbhati (mucous cleansing)

Trataka

Ayruvedic Approach End Result-

• Lightness of the body, clarity of the mind and increased energy

• Regular bowel movements with no gas or bloating

• A clean tongue and fresh breath

Shatkarma 1. Clean out2. Clean out3. Move 4. Clean out 5. Breath the Mind6. Mind

1. Neti2. Dhauti3. Nauli4. Basti5. Kapalbhati6. Trataka

Action

Modern Day Detoxing

Medical Non Medical

What ever works!

A word on Science of our GUT

http://www.nhlbi.nih.gov/health/public/heart/chol/wyntk.pdf

Miles of capillaries and microvilli…

…all work to constantly absorb, filter and move.

Resting the GUT When it works good, we feel good

When GUT is abused, it un-filters hell

RECHARGE!

When GUT is on holiday, a lot of energy frees up

Mario says:This is why after the first week,

detoxers feel so energetic!

How to choose which diet?

The Saguil Approach toNutrition Change

• Has to be safe

• Take some time off

• Precede the event with grounding

• Rescue medicines or herbs

• Celebrate with a hallmark change in movement and spirit

(or warn others!)

(or warn others!)

(for side effects)

Bottom line is the RESET

SafeCheapReliable?

Knowing the facts

• Glycemic index• Food side effects (later…)• Calories • Portion size

Food for Thought (bad thoughts)

GI (glycemic index) of the GI

Fructose heavy high GI

Insulin Dumping/Cortisol dumping

Jumpstart in a Nutshell..

Daily diet for 7-10 days1200-1400 calories per day:• Whole Grains• Vegetables• Protein• Dairy Alternatives• Fruit• Fat

H2O

Whole Grains =2 cups

OR1 cup cooked grain 2 slices of bread

1 ½ cups dry cereal

Vegetables = 2 ½ cups

OR4oz vegetable juice 1 cup raw vegetables

3 cups raw lettuce

Protein = 5 ½ servings

or½ cup cooked legumes ½ cup tofu or tempeh

4 oz fish 4 egg whites or 2 whole eggs

Dairy alternatives = 1 cup

1 cup almond soy rice coconut

Fruit = 1 serving

1 piece of fruit ¼ cup of dried fruit

½ cup of fresh or frozen

Fat = 2 teaspoons

or1 tsp oil 1 ½ tsp tree nut butter

1 tablespoon chopped nuts or ground flaxseed

WHOA!!!!!!

DrRic Disclaimer

• I am not a • I am not a • I am not a • I am not a

• I am a Yoga Teacher • I am a Compassionate Physician• I am an Integrative Medicine Physician

Sustainability Team

Registered Dietician“Health Coach”Naturopathic DocBehavioral Specialist

Gut-Brain Connection

When the GUT is unhappy, we are unhappy

Bottom line with Nutrition

Step away from the animal!

Hunter Gatherer Mentality

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

Nutrition

Grounding

Movement

DrRic

Emotion controls GUT

• Insure REM• Set up a conducive environment• Remove distractions• Rescues for 21days• Don’t nap• Switch macronutrient times

Sleep Cycles

I don’t need much sleep- doc

The Saguil Approach to Restful Sleep

• Valerian/Hops Melatonin• PJ/s, pillows and blanky, Temp-67, darkness• LCD 3m away, ear plugs, light blocker, no tech• Lavendar/sandalwood, SL melatonin, 4/7/8• Rhodiola, light box, Metallica• Protein day, carbs night,

Behavioral Therapy

Brain/GUT Relationship?

Always have to include the mind with the diet change When the brain is unhappy, the GUT is unhappy

Control the Brain before the GUT

• The Limbic System controls gut and emotionality• Neuroplasticity concept• Prefrontal cortex seat of judgement and planning- sight of highest order cognitive activity• Increasing connection (white matter) L prefrontal to amygdala yields more resiliency to adversity

The bottom line with Grounding

• Average American is very good with the

• Average American is lacking the

stress response

relaxation response

Both take practice

Get Ready to Rumble!!!

The Relaxation Response

• 5-10 min. at the beginning and end of your day

• Cultivate RR with help

30

Or Try

Look familiar?

Modern Day Ashram

Caveat with diet and exercise

• Watch the increase in exercise/decrease in cal• Performance will suffer so can be dangerous• Consider low and slow during the fast

...what in morning was truth, in evening will become a lie. -Carl Jung

Bottom line with Movement

• Change the concept of movement• Imbibe “brain stillness” into the endeavor• Warm up can be the “pause”.• Vigorous exercise is good… ….balanced exercise is better!

Your Exercise

Speaking of supplements…

• Herbs for Brain –(relaxing during starvation)• Herbs for Sleep• Herbs for Liver • Herbs for Colon • Aromatherapy

-Then return back to the usual O3, Vit D3, MVI and DrRic’s personal picks

DrRic fav’s for colon

• Slippery Elm –lube and antiinflam• Marshmallow Root –” “• Ginger - prokinetic• DGL –protects the stomach• Magnesium – constipation/spasm• Probiotic – diarrhea/immunity• Digestive enzymes - +/-• Mucosagen by Orthomolecular

Read your box labels

DrRic fav’s for liver

• Milkthistle –(Natures Way purple top) “Thisilyn” 200m/d

• SAMe• Vitamin AA –(no alcohol)

Read your box labels

DrRic fav’s for brain

• SAMe• St Johns Wort• 5HTP• Valerian with Lemon Balm• Magnesium • O3

• Kava kava / Ashwaganda Read your box labels

Aromatherapy

• DiGize• Ocotea • Sandalwood • Lavendar • Sage

To induce release of oxytocin and serotonin

The Reveal

Embark (set the date)

Enlighten (read)Enlist (get help)Empower (ground)Encourage (share)

The Saguil Approach to Sustainable Change

QUESTIONS?

COMMENTS?CONCERNS?

Knee Pain in the Outdoor Athlete

REI Schaumburg 5/23 Wed 7-8pm

1209 E Golf RdSchaumburg, IL

Phone: (847 )619-6729