1. Why…
DETOX

2. Your Total Metabolism Test:
The Basics
• Body Fat %
• Ideal for women 18-25%
• Ideal for men 8-18 %
• BMI – Body Mass Index
• You should be between 18 -24.9
• Hydration
• Total Body Water divided by weight
• men 55-60% women 50-55%
• BMR-Basal Metabolic Rate
• This should be your weight times 10 if you are a
women, times 11 if you are a man

4. Your Team Medical Advisor,
Dr. Dalal Akoury
• Founder of AWAREmed Medical Institute
• Fellows Advanced, ABAARM Board Certified
• Applying Functional Medicine in Clinical Practice
Certification (AFMCP)
• Emergency Room Physician for 20 years
• Pediatrician Since 1989
• Pediatrics Hematology/ Oncology fellowship at
Emory University and ST Jude’s Hospital
• Genetics Research at CDC
• Fellow, American Academy of Anti-Aging Medicine

5. ENVIROMENTAL TOXINS
•Many of the
toxins abundant
in our
environment
today did not
even exist 30
years ago!

6. What Contributes to your
Total Toxic Burden?
• We are all exposed to thousands of toxins
and chemicals on a daily basis at work,
in the home, through the air we breathe,
our food and water supply, and through
the use of pharmaceutical drugs.

7. What are the toxins we
should be worried about
• Heavy Metals
– Mercury, Lead, Arsenic, Copper,
Cadmium
• Organochloric and organophosphic
compounds
– Smoke, agriculture treatments,
environmental
• Petrochemicals
– Solvents, fine and industrial chemicals

8. How bad is it
world wide?
• 80 billion
pounds of toxins
are released
world wide
every year
• A MICROGRAM
dose of many of
these can impact
human health

9. What is Ozone?
• Ozone is found in two regions of the Earth’s
atmosphere
– Upper atmosphere ozone provides a protective barrier from
the sun’s harmful UVA radiation
– Ground-level ozone is not emitted directly into the air, but
forms through a reaction of nitrogen oxides (NOx) and
volatile organic compounds (VOCs) in the presence of
sunlight.
• NOx & VOCs are created by emissions from
industrial facilities, electric utilities, motor vehicle
exhaust, gasoline vapors and chemical solvents
• Ozone production is accelerated by sunlight and hot
weather making it mainly a summertime air
pollutant.
• Ozone can be carried from hundreds of miles away
and therefore is found in urban and rural settings.

10. Exposure to Ozone Can:
• Make breathing deeply & vigorously more
difficult by reducing lung function.
• Irritate airways, causing coughing, sore or
scratchy throat, pain when taking deep
breaths and shortness of breath.
• Increase frequency of asthma attacks.
• Inflame and damage the lung lining.
• Increase susceptibility of respiratory
infections
• Aggravate chronic lung diseases like
asthma, emphysema, and bronchitis.

11. What can you do to
minimize your exposure to
ozone?
• Read the Air Quality Report
• Exercise early in the morning when it
is cooler out
• Avoid vigorous exercise during the
warmer days of the year.
• Decrease your output of ozone
causing compounds.

12. Petrochemicals affect
Metabolism
• When the body is trying to detoxify these
chemicals glycine is depleted and
threonine is stressed.
• What happens:
– It impairs gluconeogensis
– This can cause hypoglycemia
– This can lead to insulin resistance

13. Petrochemicals affect
Metabolism
•Impairment in insulin
response may lead to
abnormal weight gain
and weight loss resistance.
• Following a comprehensive detoxification
program that includes increasing supportive
nutrients is critical for healing the metabolic
damage and reversing this process.

14. What other toxins we
should be worried about
• Stress
• Infections
• Drugs (Rx & OTC)
• Foods
• Damaged Fats
• Smoke
• “Silver” Dental Fillings

15. EXPOSURE
• In addition, we are
eating more sugar
and processed foods
than ever before in
human history and
regularly abuse our
bodies with various
stimulants and
sedatives.

16. Toxins in the body
• Toxins and “dead”
foods lead to poor
digestion,
constipation, toxic
colon build-up,
weight gain and low
energy.

17. WATER
• Water is an integral part of
a successful detoxification plan:
– Eight or more glasses a day will flush toxins
from your body and aid your natural
detoxification system—but the water needs to be
pure.
• Do you know what's in your drinking water?
– Chlorine is toxic to humans.
– Fluoride has been found to inhibit enzymes crucial in the
digestive process.

18. Foods Add to
Your Toxic Load
• The liver has to metabolize
the fatty acids delivered by
the bloodstream after fats
in the diet are broken down
and absorbed in the small
intestine.
• The more energy the liver
has to expend in this final
process of the digestion of
high-fat foods, the less it
has available for other
detoxification work.

19. SUGAR
• Foods like white flour, white sugar and refined
foods rob your body on two levels:
– failing to provide real nutrition
– depleting nutrients used in their digestion
Sugar weakens our tissues’ resistance to disease

20. Sugar Cravings
• Craving for foods high in
sugar and carbohydrates is
different than general
hunger.

21. Sugar Cravings
• Eating these foods creates a
biochemical chain reaction that leads
to a temporary increase in serotonin
levels.
• Serotonin helps you feel relaxed, less
anxious & stressed and improves
your mood.

22. Sugar Cravings
• If you are struggling
with overwhelming
cravings for certain
trigger foods high in
sugar and carbs you
may be low in the
important “feel
good” brain chemical
serotonin.

23. Problems Associated with
Excess Sugar Intake
• Tooth Decay • Yeast Overgrowth
• Obesity • Hyperactivity
• Alcoholism
• Nutritional
Deficiency • Hyperactivity
• Mood Swings
• Hypoglycemia
• Heart Disease
• Immune Dysfunction
• Menstrual
Irregularities & PMS

24. Prescription Rx
• Just because your doctor prescribes a drug doesn't mean it's
not treated as a toxin by your body (like red wine, something
can be both helpful and toxic).
• Work actively with your physician and your pharmacist to
ensure that you are taking only pharmaceutical agents that are
absolutely necessary.
– Even for necessary drugs, a lower dosage may still be effective.
Ask your doctor whether you can safely experiment with taking a
reduced amount.
– Make sure you understand any risks and possible side effects
associated with drugs—especially if they are prescribed for long
term use, or if you take multiple medications.

25. Prescription Rx
also deplete nutrients
• Replacing those nutrients
can reduce side effects that
are caused by those
medications.

26. Over-The-Counter (OTC)
• Over-the-counter
(OTC) drugs become
part of your toxic load
as well.
• Occasional use of an
OTC remedy may
have no ill effects, but
be careful about long-
term or repeated
exposure to any
chemical agents.

27. Consider the Contributors
• All substances, legal or illegal,
prescribed or over-the-counter, need
to be considered possible
contributors to your toxic load, as
well as monitored to avoid adverse
drug reactions.

28. Caffeine
• One of the most freely
marketed addictive
substances
• Coffee has become an
overused stimulant
– It is often consumed with
other addictive substances
including nicotine and
sugar

29. Coffee
• Areas of concern:
– Toxic chemicals used in
growing & processing coffee
– Oils can easily become rancid
– Irritating acids
• Unless you are drinking WATER-PROCESSED
decaf…
– Your decaf is treated with:
• Trichlorethlene (TCE)
• Methylene chloride

30. Other sources of Caffeine
• Cocoa
• Cola
• “Energy” drinks
• Tea
• Stimulant OTC (NoDoz, Vivarin, etc)
• Weight Control (Dexatrim, Dietac)
• Pain Relief (Excedrin, Anacin)
• PMS relief (Midol, Aqua-Ban, Premens)
• Cold Remedies (Dristan, Sinarest)

31. Negative Effects of Caffeine
• Excess • Loss of minerals • Increased blood
Nervousness • Depletion of B pressure
• Headaches vitamins • Increased
• Heartburn • Reduced cholesterol
• General absorption of • Increased
anxiety Iron Norepinephrine
• Hyperactivity secretion
• Reduced
• Increased HCL absorption of • Heart rhythm
production
calcium disturbances
• Diarrhea
• Osteoporosis • Interrupted
• Dizziness
• Anemia growth in
• Insomnia children &
• Kidney stones • Depletion of
vitamin C adolescents

32. SMOKE
• Whether you smoke yourself or you
have friends, family or colleagues
who smoke in your presence, you are
getting exposed to more
environmental toxins.
• Smoking also harms the cilia, which
the respiratory system uses as a
transport mechanism to help detoxify
your body.

33. SMOKE
• If you do smoke and aren't
ready to quit, it is even
more important that you
balance out your toxic load
in other areas, and take
supplements to replace
nutrients depleted by the
tobacco and to support the
organs damaged by
smoking.

34. ALCOHOL
• Though alcohol can never be called
healthful, moderate amounts of
alcohol—one or two glasses of wine
or beer daily—may not be overly
harmful.
• Nonetheless, it still places a toxic
load on your liver. Immoderate
drinking of alcohol can overstress the
liver and its detoxification capacity.

35. ALCOHOL
• Recently, medical studies have shown
that some of the constituents of red wine
can be helpful to the body, though the
alcohol it contains still must be detoxified.
Unless the wine is organic, it may also
contain toxic pesticide residues.
• People who want the benefits of red wine
without the toxins can drink (dark) grape
juice or take Grape Seed Supreme which
contains grape seed skin and seed.

36. PROCESSED FOODS
• Even if you limit damaged fats, many toxins come in
the form of preservatives and chemical additives in
packaged foods and beverages.
• Immunologists advise individuals who are immuno-
suppressed to eat only fresh whole organic food.
• It is recommended that you do the same through the
detoxification process and beyond.
• It is best to minimize or better yet eliminate the
consumption of processed foods, especially desserts,
snack foods and fast foods.

37. Damaged FATS
• The more energy
the liver has to
expend in this final
process of the
digestion of high-
fat foods, the less
it has available for
other detoxification
work.

38. Damaged FATS
• Any oils that have been processed
and are stored in clear plastic
containers exposed to light in the
grocery stores are rancid.
• Think of these oils, margarine and
hydrogenated fats as the “white
bread” of fats. Our new term for
them is “white oils”!

39. Pesticides
• U.S. farmers used:
– 50 million pounds in 1948 (7% crop loss)
– 335 million pounds in 1965
– 806 million pounds in 1989
– 985 million pounds in 1997
– ~1 billion pounds in 2000 (13% crop loss)
• 3.5 pounds of chemicals for every person in
the U.S. at a cost of $8 billion.
• 20% of these approved-for-use pesticides
are listed as carcinogenic by the EPA.

40. FOOD ALLERGIES
• Even “healthy” foods can be toxic if one
has a food allergy to them.
• IgG food allergies affect millions and often
go undiagnosed as the classic test for food
allergies just looks for immediate IgE
immune responses and this type of IgG
response is delayed. This also means that
the patient doesn’t clearly relate his
symptoms back to the offending cause due
to the lag time between ingestion and
symptoms.

41. ‘Silver-Fillings’
(A.K.A. Mercury Amalgams)
• So-called "silver" fillings, which are really a mercury amalgam
made of mercury, tin, copper and zinc, have actually been
declared a hazardous waste by the Environmental Protection
Agency.
• Yet, the American Dental Association still approves them for
use in your mouth.
• The World Health Organization indicates that a single filling can
release from 3 to 17 micrograms of mercury a day, and
mercury toxicity has been associated with anorexia,
depression, fatigue, insomnia, arthritis, multiple sclerosis,
irritability, memory loss and gum disease, among other
disorders.

42. Is Detox Right for You?
• Detoxification can be beneficial for those
with any of the following conditions:
Chronic constipation Parasite infestation
Frequent gas & bloating Recurring headaches
Excess weight Bad breath
Frequent fatigue Hemorrhoids
Impaired digestion Joint pain
allergies Irritability
Irritable Bowel Frequent colds
Syndrome (IBS) Protruding belly
Skin conditions Hypothyroid
Candida infection

43. Detoxification
begins in the gut

44. The Liver is the Major
Detoxifying Organ
• The liver utilizes a two-phase system in
detoxifying the body of harmful substances:
– 1st: Transforms toxins into more water-soluble
compounds that are then carried through the
blood to the liver for further processing, or to
the kidney for elimination.
– 2nd: Completing the detoxification in the liver
and sending the toxins back to the kidney for
elimination, or into the bile for elimination via
feces.

45. Phase I & Phase II
• The congested or sluggish liver is
characterized by a diminished bile flow,
while impaired liver (hepatic)
detoxification refers to decreased phase I
and/or phase II enzyme activity.
• Phase I detoxification rates that are in
excess of phase II activity will also cause
toxicity problems due to excessive
accumulation of activated intermediates.

46. Potential Benefits of
the Detoxification Program
• Increased Energy & Vitality
• Weight Loss
• Breaking Weight Loss Plateaus
• Better gut function
• Clearer thinking
• Improved Skin
• Better Sleep
• Improved Mood

47. YOU HAVE MORE CONTROL
THAN YOU THINK
• In our day-to-day life, we are
exposed to toxins on numerous
levels, some within our control, some
totally outside it, and others are
somewhere in between.
• We ingest pounds of foods and
beverages on a daily basis.

48. The Basics: Basic Detox Diet
• The foundation of health begins by
what we put into our bodies.
• Our detox diet strengthens the organs
involved in detoxification and releases
stored toxins, expelling them through
the organs of elimination: the skin,
intestines, liver, lungs, kidneys and
lymphatic system.

49. Goal of Detox
• Week one is to reduce our toxin
exposure by eliminating as many of
the factors that we can control as
possible.
• Weeks two through four are to
reduce exposure and enhance
elimination.

50. Week 1 Simple Detox
• Eliminate the SNACCS
– sugar, nicotine, alcohol, caffeine and
chemicals
• Reduce wheat (gluten), dairy, and soy
in diet.

51. Basic Detox Diet
It is strongly recommended to
eliminate soy, gluten and dairy
products from your diet while
undergoing a detoxification treatment
due to their potential allergenicity.

52. A Simple Detox Diet
• Additionally this diet eliminates
potential food allergens and toxic
chemicals.
• For optimal result you should follow
a whole-foods, macronutrient based
diet.
– Organic vegetables & fruits, healthy fats
and lean, clean protein.

53. Balanced Food Circle
Lean Healthy
Protein Fats
Nuts
High Fiber Carbs
& Low Glycemic
Index Fruits
Non Starchy
Veggies

54. Optimal Food Choices
• These are Gluten & Dairy Free, and be
sure to choose organic whenever
possible:
– Optimal Protein Choices
– Optimal Fat Choices
– Optimal Non-Starchy Vegetable Choices
– High Fiber Starchy Carbohydrate Choices
– Low Glycemic Index Fruit Choices
• Low, Medium, High

55. Sample Detox Diet Day
Replace Breakfast & Lunch
BREAKFAST LUNCH DINNER
Green salad with sprouts
and vinaigrette
Baked Cod topped with
Avocado salsa
Chop: 1 avocado, 1
OPTIONAL SNACK tomato, ½ c red onion,
Celery and almond ½ c capers
butter (drained),1/4 c fresh
Herbal tea cilantro, ½ tsp.
cumin,1/8 tsp. cayenne
and 2 Tbl. lime juice
½ c. Quinoa

56. Green
Drinks/Soups
• Green drinks are
naturally alkalizing
and can also act as
an anti-inflammatory
– Which can help the body
regain balance against
toxicity and are particularly
effective against
acetaldehyde (the toxin
produced from metabolizing
alcohol)

57. Detoxification Support Packets
• Supplements support detoxification
and improve the benefits of the
cleanse.
– Amino D Tox, Three A Day Antioxidant,
& LV/GB Complex.
• We find that people who take the
recommended supplements have
better results and feel better while
going through their detoxification
process.

58. A Supplement to Support
the Detox Process
Amino-D-Tox
• Formulated to aid the liver in
Phase II detoxification of
harmful chemicals. This formula
is well suited to even the most
sensitive of patients, such as
those with multiple chemical
sensitivity (MCS)

59. Three A Day Antioxidant
• Not only quenches free radicals
but its combination of nutrients
is excellent for detoxifying
chemical like heavy metals.
– Vit C, Vit E, Zinc, Selenium, N-Acetyl
Cysteine, Leucine, Lipoic Acid, Green Tea,
Turmeric Extract, Grape Seed Extract
• It is a most beneficial formula for
strengthening the immune system.

60. Supplements: LV-GB Complex
• LV-GB Complex provides
support for liver and
gallbladder function by
substances to aid in the
elimination of fatty
substances from the liver, as
well as promoting proper
bile flow.

61. What else can you do?
• Exercise
• Infrared Saunas
– Start weeks 3 & 4 if you
have access
• Daily
Elimination
• Water

62. Questions???

63. How bad is it in the
Coachella Valley
Region 9: State Designations
Boundary Designations for 8-hour Ozone Standard - EPA Region 9
(as of November 14, 2007)