Abnormal Lab Results

It's been a while since I've added a new post to this blog.  Like many people I don't always have time to accomplish all the things I want to and this blog has unfortunately been pushed down on my priority list many times lately.  There are many things I want to comment on and my plan is to be more regular again with my posting.

A few months ago I had my annual checkup from my medical doctor.  As part of the procedure he ordered a number of lab tests to check the chemical values of my blood and urine, along with an EKG.  When the tests results came back, a couple of the values were out of the normal range.  What should be done?  Very often the medical approach is to prescribe some medications to bring the lab values back to within the normal range.  Is this the best approach to take?

Before I comment further, let me clearly state that there are times when medications are necessary.  But there should always be other considerations first.  The chiropractic approach is always chiropractic first, drugs second, surgery last.  Fortunately I have a good relationship with my MD and, although his first suggestion was medication, we agreed on an approach that did not involve taking any drugs.  There were two of my blood values that were of concern.  First, my testosterone levels were low.  This is not uncommon for a man of my age.  Second, my C-reactive protein levels were high.  I believe anytime a person has abnormal lab values the first thing to do is to consider lifestyle issues that could cause the abnormalities.  Was there something I was or wasn't doing that would result in my body working less that optimally?

In the case of low testosterone, it's easy to just say I'm getting older and that's just what's going to happen.  The knee jerk reaction is to take hormone replacement, risk the side effects and not make any changes to my lifestyle.  Instead I changed my exercise routine to include more strengthening of my big muscle groups.  I also made sure I was getting plenty of high quality protein and fat in my diet, including increasing my red meat intake.  Additionally, I took an herbal supplement (TestoGain from Douglas Labs) formulated to support testosterone production.  Within three months my testosterone level was right in the middle of the normal range.  My conclusion is that my low testosterone was the result of diet and exercise deficiencies and not my age.

High levels of C-reactive protein are indicative of an inflammatory process in the body.  It is significant because low grade inflammation that elevates C-reactive protein is associated with cardiovascular problems.  Stress is probably the greatest cause of this abnormal finding.  This can be physical, chemical or emotional stress.  In my case, I recognized stresses in all three areas.  I reduced my consumption of wheat and white potatoes while increasing my consumption of green vegetables.  My sleep quality also needed improving so I became more diligent in getting to bed at the same time each night and taking magnesium (Natural Calm) each evening.  Managing emotional stress is an ongoing challenge, but I've tried to make sure I have down time just for me.  Additionally, I increased my anti-oxidant and enzyme intake.  Again within three months my C-reactive protein levels were well within the normal range.

When our lab values are abnormal, there is a reason.  There is usually a lifestyle issue that is the cause and lifestyle changes can be corrective.  It may be easier to take a prescription, but drugs all come with the risk of side effects and they don't necessarily get to the root of the problem.  It takes more effort to actually make changes, but the long term results are better.  Nothing beats a healthy chiropractic lifestyle.

I've given you my own case only as an example of what can be accomplished with some effort.  Abnormal lab values can be corrected with lifestyle changes and nutrition without the use of drugs.   What will you do when some of your lab results are abnormal? 

Co Q10

There are a few supplements that I think just about everyone can benefit by taking.  One of them is Coenzyme Q10 (Co Q10), also called Ubiquinol in it's active form.  Co Q10 is a fat soluble anti-oxidant and micro-nutrient.  It protects cell membranes from oxidative damage.  It is also absorbed into cells where it is a vital component in the production of cellular energy in the mitochondria.  A properly functioning body produces the Co Q10 that is needed.  However due to increased demand, illnesses, interference from medications, stress, nutritional deficiencies, and inadequate intake of Co Q10 building blocks, a huge segment of our society is Co Q10 deficient.

Without adequate Co Q10 people tend to have low energy levels.  They are also more likely to suffer from heart disease, atherosclerosis, high blood pressure, migraine headaches, periodontal disease, Parkinson's Disease, Type 2 diabetes, and a depressed immune system.  They are also unable to properly recover from physical stress. Heart muscle has a particularly high need of Co Q10. That's a pretty extensive and varied list of conditions.  Most of the conditions listed are ones I personally want to make every effort to guard against.   

The best dietary sources of Co Q10 precursors are organ meats, red fleshed fish, sardines, soybean oil, olive oil, and grapeseed oil.  They are found to a lesser extent in dark green vegetables and nuts.  Unfortunately these are not foods that we consume in large quantities so many people simply don't have the necessary elements to make adequate amounts of their own Co Q10.  A further complication is that as we age our bodies become less efficient at producing Co Q10.  Some studies indicate that Co Q10 production starts to decrease in people in their 20s.  That's not good news for someone my age.

A very significant problem in that past couple of decades is that a number of medications interfere with Co Q10 production and absorption.  These include some beta blockers, blood pressure lowering medications, and statins.  Statins are a class of cholesterol lowering drugs that include Lipitor, Crestor, Zocor, and Livalo.  These statin drugs are known to produce many side effects and one of the reasons for these is the great interference they have on Co Q10.  Many specialists believe all people taking statin medication should be supplementing with Co Q10.

Supplementing Co Q10 is not straight forward.  It is fat soluble and not easily absorbed.  Unfortunately many people are simply wasting their money by taking Co Q10 supplements that they simply aren't absorbing.  It doesn't matter how low the price on the bottle is, it's expensive if your body can't utilize it.  The supplement should be all natural and free of toxins.  The product we most often recommend in our office is Nanocell Q from Metagenics.  This is a nanomicellized form of Co Q10 which converts the fat soluble product to become water soluble.  Once water soluble it is easily absorbed.  It is also in a great tasting liquid form which makes it easy to take.

Co Q10 is absolutely essential to be healthy.  Supplementation is the best answer for most people to help prevent many serious degenerative diseases.

Staying Off the Treadmill

No, this is not an anti-exercise post.  The treadmill I'm referring to today is about running to get ahead but ending up going nowhere.  Specifically it's the medical treadmill I'm going to talk about.  It's the treadmill people find themselves on when they run from doctor to doctor, take test after test, are subjected to procedure after procedure, and take drugs followed by more drugs looking while looking for help with their health problems.  It's a treadmill that wears people down.  I see young people stressed into anxiety and depression, middle aged people worried to the point of developing new illnesses, and seniors totally exhausted physically and emotionally from being on this treadmill.  I also see people of all ages who have made a conscious effort to either stay off the treadmill or get off it once they recognize they are on it.  These people are both happier and healthier than those who are continuing to run.

I must let you know that I am not against tests, procedures and medications.  I am against tests just for the sake of running tests.  I'm against invasive procedures conducted before conservative methods are exhausted. While prescription medications can be absolutely essential for treating many conditions, they invariably have side effects.  These side effects usually necessitate additional testing and in very many cases more medication to treat the side effects.  The cycle of testing and medicating can become relentless; like running on a treadmill that can't be stopped.  This is especially true for chronic conditions for which medicine has a poor track record of treating.

Staying off the medical treadmill can be a daunting task.  The first step is to acknowledge that you are the person responsible for your health.  You can seek the advice of others and partner with other people, including doctors, but you must make the decisions regarding your health.  This is a crucial step.  It means you must become informed about your health situation.  You need to explore your options and  weigh the risks and benefits of any tests or treatments.  There are times you will need to say, "No".  No one but you can decide what is best for you.

The second step is to adopt a lifestyle that promotes health.  The best way to stay off the medical treadmill is to not get sick in the first place.  I've talked about lifestyle in several previous posts, but let me quickly list a few of the basics.  You need to eat nutritious food, drink plenty of water, avoid toxins, get adequate rest, manage stress, maintain good relationships, attend to spiritual matters, exercise, and look after your nervous system.

Now maybe you've had the misfortune of already having your health compromised through injury or illness.  You can get off the treadmill.  You must first go back to step one and take responsibility for your own health.  You need to become the decision maker.  Do your homework and find out as much as you can about what is afflicting you.  Research the treatment options.  Look for treatment methods that work with your body and aren't going to cause side effects.  Look for professionals you can partner with to help you reach your health goals.  Make lifestyle changes that will strengthen your body so it can heal itself.  The body is marvelously self healing when it's given the proper environment to do so.

In more than a quarter century of practicing chiropractic, I've observed many, many people enjoying wonderful health in their advanced years.  Invariably they are the ones who have made an effort to stay off or get off the medical treadmill.  They have decided to take responsibility for their own health.  As a chiropractor I count it a privilege to be able to partner with these people.  I advise them on lifestyle changes that will promote their health.  I also assure that there is no interference to the proper functioning of their nervous systems by adjusting their spines to correct vertebral subluxations.  Chiropractic allows the body to heal itself.

Drugs Kill More Than Auto Accidents

The following is from Dr. Gerry Clum, former president of my alma mater, Life Chiropractic College West.

"We are not talking about crack cocaine, meth and heroin here, we are talking about the stuff giant corporations hold the patents on. According to the LA Times quoting the Centers for Disease Control, in 2009, prescription drugs exceeded MVA as a cause of death killing at least 37,485 people. While almost all other areas of preventable death are declining, drug related deaths have increased to a rate of one every 14 minutes in the United States. That is double what it was a decade ago. The main culprit is thought to be prescription narcotic overdoses-Vicodin, Darvocet, Oxycontin and all their brothers and sisters. A new addition to the pain killer killing list is Fentanyl provided in patch of lollipop form and packing a power level 100 times greater than morphine. Linda Rosenstock of UCLA's School of Public Health was quoted as saying the liberalized prescription of pain drugs "may in fact be the cause of the epidemic we're now facing".

Drug deaths among teens and young adults doubled between 2000 and 2008. The rise is deaths parallels medical doctors prescribing more painkillers and anti-anxiety meds. Remember the old days when you thought about someone strung out on heroin willing to do anything for their next fix, well the cost of Oxys or Vikes on the street for a heavy user is about double that of a heroin addict. By the way, lest you think this is an LA thing hydrocodone is the most widely prescribed drug in America.

Some steps that have been proposed to deal with the problem will amaze you. How about a police coordinated drug buy-back program similar to the gun buy-back programs in many cities. Better yet, and this is a quote from the LA Times "Another initiative would develop voluntary courses to train physicians on how to safely prescribe pain drugs, a curriculum that is not widely taught in medical schools". Huh? I kinda thought that was a big part of their education and training, if not and medics have made hydrocodone the #1 prescribed drug here in America not knowing how to safely prescribe them it is no wonder things aren't way worse than they are.

After almost 40 years as a chiropractor I am thrilled to say we haven't contributed the first script to this problem. I hope and pray my son and daughter who are chiropractors will be able to say that is true when they hit the 40 year mark."

Thanks for your insights Dr. Clum.

My closing comment on this issue: And there are people in the medical profession who claim chiropractic adjustments should be banned because they are dangerous.