Nutritional Endocrinology A Functional Approach to Hormone Balance

Robert A. Rakowski, DC, CCN, DACBN, DIBAK

“I envision the life that their family would enjoy 5 years from now

having used my solution or service.”

Darren Hardy

Rakowski Life

Pyramid

Love Purpose

Discipline

Life-Style

Unique Needs

© Rakowski 2007 The Magnificent Seven

Eat right

Drink right Think right Poop right Move right

Talk right Sleep right Eat right

Drink right Think right Poop right Move right

Talk right Sleep right

It’s the PERFECT

time to be a great doctor!

Less Healthy!

“we spend 86% of our health care dollars on

the treatment of chronic diseases.”

cdc.gov

$8,745 cost of sick care per person in U.S. in

2012 http://www.usatoday.com/sto

ry/money/business/ below

U.S. 4.4% of the world population U.S. Consumes 52% of the worlds Medications

http://apps.who.int/medicinedocs/en/d/Js6160e/6.html

96%

4%

52%48%

4.4%

95.6% RX

Drugs

Healthy Life Expectancy 68.1 years.

14th 1990 to 26th 2010

Life Expectancy 78.2 years.

20th 1990 to 27th 2010 Over 1

Decade of Illness

Source: Association of American Medical Colleges

Getting Paid Managing

Money More Time with

Patients

Help!

Doctor

Patient

HealthCare?

Look Upstream

Ideal Doctor / patient relationship…

Unique + / -

Tack Rules

Sidney Baker, MD

Unique Need?

Aaron

Unique Vulnerability?

Megan

If you are sitting on 2

thumbtacks…

No Amount of Medication will

change it…

Removing 1 will not necessarily help you to feel 50% better…

Why are we so sick?

JAMA: The State of US Health, 1990-2010

JAMA. 2013;310(6):591-606. doi:10.1001/jama.2013.13805

670,000

460,000

240,000

Poor Diet 670,000 Cigarettes 460,000 Blood Pressure 450,000 BMI 380,000 Inactivity 240,000 Blood Sugar 205,000 Cholesterol 160,000 Total - 2,565,000

The state of US health, 1990-2010: burden of

diseases, injuries, and risk factors.

PMID: 23842577

The Airbus A380 can carry 525 passengers Estimated 75 Crew

Poor Diet = 1,116 crashes per year! Lifestyle = 4275 crashes per year!!!

Nut

ritio

n

Patients Doctors

Nutrition 17:1

return on investment

“Only supplementation

was able to significantly

boost nutrient levels”

Advances in Therapy, Volume 24, Number 5 / September, 2007 below

Food is too weak

to replete depleted cells

& bodies.” Advances in Therapy, Volume 24,

Number 5 / September, 2007 below

"Laboratory tests prove that the fruits, the vegetables, the grains, the eggs and even the milk and the meats of today are not what they were a few generations ago (which doubtless explains how our forefathers thrived on a selection of foods that would starve us today). It is bad news to learn from our leading authorities that 99% of the American people are deficient in these minerals, and that a marked deficiency in any one of the more important minerals actually results in disease. Any upset of the balance, any considerable lack of one or another element, however microscopic the body requirement may be, and we sicken, suffer, and shorten our lives.“ Journal of the International Society of Sports Nutrition. 3(1):51-55, 2006. p. 53

“the rapid depletion of

nonrenewable mineral

resources” “pose serious

long-term problems that governments and peoples

are only beginning to

address” http://www.cia.gov/cia/publications/factboo

k/geos/xx.html

© Rakowski 2008

“Soil is never in a hurry. Especially when it comes to making more soil. It can take 1,000 years to form one-

inch of soil. If people grew that slowly it would take 80,000 years to grow a basketball player. Incredible!”

http://www.nrcs.usda.gov/feature/education/squirm/skQ11.html

“More than 30 elements have a key function in

helping plants and

animals live and be healthy.” Mineral Information

Institute http://www.mii.org/periodic/LifeElement.php below

© Rakowski 2006

http://www.potashcorp.com/investor_relations/industry_overview/2005/the_global_chain/page_11.zsp

GMO corn

“Females developed large mammary tumors almost always more often than and before controls, the pituitary was the second most disabled organ; the sex hormonal balance was modified by GMO and Roundup treatments. In treated males, liver congestions and

necrosis were 2.5–5.5 times higher.” Food Chem Toxicol. 2012 Nov;50(11):4221-31. PMID: 22999595 below

In females, all treated groups died 2-3 times more than controls, and more

rapidly. Large Mammary

Tumors

Both Genders Had Extreme Liver and

Kidney Problems

Tyrone Hayes, Toxic Baby

94 percent of rats prefer sugar to cocaine

Lustig PMID: 17668074

60 minutes special on flavor chemists, food addiction and obesity

“overconsumption of palatable food

(chemically altered junk

food) triggers

addiction -like neuroadaptive responses

in brain reward circuits” Nature Neuroscience 13, 635–

641 (2010) doi:10.1038/nn.2519 below

YES

“CONCLUSIONS: In this study, adolescents

overconsumed fast food

regardless of body weight,”

JAMA. 2004 Jun 16;291(23): 2828-33. PMID: 15199032 below

David Kessler, MD, the former head of the Food and Drug Administration, describes the

science of how food is made into drugs by the creation of hyperpalatable foods the leads to neuro-chemical addiction. drhyman.com/food-addiction below

CONCLUSIONS: Physical inactivity appears to be the result of fatness

rather than its cause. Arch Dis Child. 2011 Oct;96(10):942-7. PMID 20573741

Decline in CardioVascular Death 1900-99

Why?

Mark Houston, MD

World J Cardiol. 2014

February 26; 6(2): 38-66. abstract

below

Infinite

Finite

Smoking in the U.S. (CDC, USDA)

US Smoking Decline

“avoidance of 8 million premature deaths” “estimated extended mean life span of 19 to 20 years”

JAMA 2014 PMID: 24399555

US Decline in smoking and cardiovascular death

Fruits and Vegetables increase smoking cessation success 300%!

“cigarette smokers who ate fruits and vegetables an average of 4 or more times per day were 3 times more

likely to be abstinent from all tobacco products, Nicotine Tob Res. 2012 May 21. PMID: 22614546 below

“These eight carotid atherosclerotic lesions were shown to contain several bacterial species

belonging to human flora or the environment.” Eur J Clin Microbiol Infect Dis. 2003 Feb;22(2):99-105. PMID: 12627283 below

Fig. 1. Development of the vulnerable plaque. The small

globules inside the vasa vasorum and in the vulnerable plaque represent lipoproteins; the

black dots represent

microorganisms, http://www.thincs.org/vulnera

bleplaque.htm below

Why?

Birth

Birth

New York City, 1881

New York 1881

Horse Manure 2.5

million lbs per day!

Conditions were ideal for the plague: the streets were flowing with sewage wikipedia

Crude death rate for infectious disease, United States 1900–1996. (Adapted from Armstrong, GL, et al. JAMA 1999:281:61–6)

Why? Automobiles

Less Horse Poop

Sanitation, Hygiene

75%

91%

Toxic World

Toxic?

200+!!!

700+ Toxins

in EVERY PERSON

Exhausted

Sleep Disturbance

Gut Distress

Allergy

Headaches

Confusion

Anxiety

Symptoms of Chronic Poisoning

1. Fatigue 2. Sleep disturbance

3. GI distress 4. Headaches

5. Allergy symptoms 6. Confusion

7. Anxiety

Liang, HK. Clinical evaluation of the poisoned patient and toxic

syndromes. Clin Chem. 1996; 42(8B): 1350-1355

http://btc.montana.edu/olympics/physiology/pb01.html below

How Important is detox to your body?

1

1 2

2

3

3

Nutrient Support for Detoxification

excretory derivatives

Lipid-soluble

molecule

polar water-soluble ( )

Bile

Feces/stools

Serum

Kidneys

Urine

ATP

glutathione glycine taurine glutamine ornithine arginine N-acetylcysteine cysteine Methionine methyl donors

riboflavin (vit. B2)

niacin (vit. B3) pyridoxine (vit. B6) folic acid vitamin B12

glutathione branched-chain amino acids flavonoids phospholipids

Phase II [conjugation

pathways]

Phase I [cytochrome P450

enzymes]

© 1995 HealthComm International, Inc.

Activated Intermediates

Prot

ein

I need a big push

Maximizing the Therapeutic Benefit. Bodies respond to Frequency, Duration, Intensity, Quality and Timing of Stimuli

1 Week Intense Detox

Unlimited Quantities of Organic Vegetables.

Unlimited Quantities of a specific

functional food.

Add Synergistic Micronutrients for complex cases

Accessory Detox

Coffee Enemas (up to 3 per day), Saunas etc if desired.

Week 2 – reduce the medical food to 2 servings daily and incorporate the full modified elimination diet.

Reboot - Control Alt Delete

© Rakowski 2012

Detox Shake

scoops

BUFFE R

0

1

2

3

4

5

6

Preventing or Reducing Detox reactions

MOVE RIGHT

“The body you

currently have, is the one you’ve EARNED,

by the way that you move”

CONCLUSIONS: Physical inactivity appears to be the result of fatness

rather than its cause. Arch Dis Child. 2011 Oct;96(10):942-7. PMID 20573741

“Even at very old ages, regular physical activity results in a lot of benefits, in high quality of life, in

independence and longevity.” Orv Hetil. 2010 Jan 17;151(3):110-3. PMID: 20061269

“training EXERCISE

increases brain mitochondrial biogenesis”

J Appl Physiol. 2011 Oct;111(4):1066-71. PMID: 21817111

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Exercise

Be Happy!

Distress or De-Stress Robert A. Rakowski, DC, CCN, DACBN, DIBAK

“What’s the one thing I can do, such that

by doing it everything

else is easier or

unnecessary?” Gary Keller

Make it Fun!

Make it Fun!

Joy

Cost of a meal at an

inexpensive restaurant =

$10.00.

http://www.numbeo.com/cost-of-living/country_result.jsp?country=Unite

d+States

Restaurants Median Range

Meal, Inexpensive Restaurant 10.00 $ 8

15

Meal for 2, Mid-range Restaurant, Three-course 45.00 $ 32.98

60

Combo Meal at McDonalds or Similar 6.00 $ 5.87

7

Domestic Beer (0.5 liter draught) 3.28 $ 2.75

4

Imported Beer (0.33 liter bottle) 4.75 $ 3.79

Cappuccino (regular) 3.59 $ 3

4 Coke/Pepsi (0.33 liter bottle) 1.50 $ 1.25

2

Water (0.33 liter bottle) 1.25 $ 1 1.5

Success is a numbers game

5 shakes per week

x

4 weeks per month

x

500 patients

x

$4 profit per shake

= $40,000 per month