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Diagnostic Testing and Treatment Adventures on Monday Morning: A Wrap-Up Louis B. Cady, MD – CEO & Founder – Cady Wellness Institute  Adjunct Professor – University of Southern Indiana Adjunct Professor – Indiana University School of Medicine Integrative Medicine for Mental Health Conference Sedona, Arizona -  September 17-18, 2011
Orientation ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Real doctoring”: The Chance to Change Patient’s BRAINS
“ But my patients don’t know about this and aren’t asking for it….” ,[object Object],[object Object]
Functional testing – will deal with later ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conventional testing, “plus” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Additional conventional labs (Greenblatt & Shaw, rev by Cady) for basis of Integrative Tx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
334  (217)  citations on  “DHEA with energy” – as of 07 29 2011
 
Unexplained chronic cough and vitamin B-12 deficiency.  ,[object Object],[object Object]
 
Magnesium mementos – from Dr. Greenblatt ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Slide from Dr. Greenblatt
Zinc deficiency –  from Dr. Greenblatt, Cady ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Van Tiggelen, CJ  - Journal of Orthomol. Psychiatry vol 13, no. 2, 97-104.
Zinc & Testosterone, reprise ,[object Object],[object Object],[object Object],[object Object],[object Object]
Low Vitamin D linked to depression [Muhlestein JB et al. Am Heart J, 2010; 159(6):1037-43. (citation from Dr. Shaw] ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Low serum levels of 25-hydroxyvitamin D (25-OHD) among psychiatric out-patients in Sweden Humble, Gustafsson and Bejerot, 2010, Journal of Steroid Biochemistry & Molecular Biology [cited from Dr. Woeller’s presentation]
“ Too much of a good thing is…. WONDERFUL.”  Mae West
[object Object],[object Object],[object Object],Excessively low cholesterol is NOT necessarily “wonderful.” Partonenm T et al, Br J Psychiatry.1999  Sept;175:259-62.
From Dr. Woeller
The TWO TESTING SLIDES, REVIEW… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Review slide – 2 of 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional testing – NOW we will review ,[object Object],[object Object],[object Object],[object Object],[object Object]
Food allergies - What to be looking for… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Bipolar Disord. 2010 Dec;12(8):834-42. Immune activation by casein dietary antigens in bipolar disorder. Severance EG, et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schizophr Res .  2011 May ;128(1-3):51-5. Epub 2011 Mar 4. ,[object Object],[object Object],[object Object]
No.  Not necessarily. ,[object Object]
 
“ Candida antibodies frequent cross-react with virtually every human tissue such as brain, thyroid, liver, heart.” - William S. Shaw, Ph.D.
Organic Acid Testing –  adapted from Shaw, multiple presentations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Serotonin Quinolinic acid Gamma Interferon From immune  System due to infection Kills cells containing bacteria, viruses, parasites. May also damage infectious organisms themselves. IDO causes drastic reduction in tryptophan for protein synthesis needed by infected cells and infectious organisms-tryptophan at very low levels Beta amyloid peptide-Alzheimer’s Excess tryptophan Causes failure to Kill infectious agents Cortisol Stress Reaction is NOT reversible
 
Before treatment (depression) HVA/VMA=  2.58 (Excess dopamine)
After treatment HVA/VMA= 1.38
Essential Fatty Acids – relevant for: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Do YOU Need an EFA panel?
c. 10- 20X Omega 6:3
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fatty Acid Deficiency and Depression (from Dr. Woeller)
“ That which does not kill me…. Can make me SICK.”  Toxins and depression ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metals analysis – useful to rule in or r/o toxins
Case study presented by Dr. Shaw: 20 yo college student with bizarre symptoms, elbow pain, mental confusion, shaking episodes, flat affect
 
[object Object],[object Object],[object Object],[object Object],Summary of Tests
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Summary of Symptoms of  Manganese Toxicity
Nevin R: How Lead Exposure Relates to  Temporal Changes in IQ, Violent Crime, and  Unwed Pregnancy. Environ Res, 2000; 83:1-22.
Arch Gen Psychiatry. 2009;66(12):1313-1319.  Average blood lead levels were 1.61 micrograms per dL. One-fifth of participants had lead levels of 2.11 micrograms per dL, which made them 2.3 times more likely to develop major depressive disorder and 4.9 times more likely to develop panic disorder compared to other participants. Normal < 5.0 micrograms per dL.
 
Cady Wellness Institute patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hair analysis (instead of Organic Acids) done d.t. staff error! ,[object Object]
Metals analysis – not just for toxins ,[object Object],[object Object]
 
Plasma amino acids
Bonehead obvious things to do:
Mental Health Support zeebra formulations Lithium Orotate  DiZorb  Methyl-Folate  Daily Resource New Beginnings Nutritionals 913-754-0458  www.nbnus.com
[object Object],[object Object],[object Object],[object Object],[object Object],Balance Plus (from Dr. Woeller)
From Chet Holmes -  Grow Your Business 10X web presentation
“ If you’re going to be thinking anyway, you might as well thing big.”  -  Donald  Trump
Perhaps the ability not only to acquire the confidence of the patient, but  to deserve it,  to see what the patient desires and needs, comes through the sixth sense we call intuition, which in turn comes from  wide experience and deep sympathy for and devotion to the patient , giving to the possessor remarkable ability to achieve results.   ...William J. Mayo, 1935
Extra slides for further background follow in notes   See also:  www.slideshare.com   Contact info: Louis B. Cady, M.D. www.cadywellness.com   Office: 812-429-0772 E-mail:  [email_address] [email_address]
 
The Great Plains Laboratory, Inc. 175 compounds screened 73 different toxic chemicals Single morning urine October 2011
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Diagnostic Testing and Treatment Adventures on Monday Morning: A Wrap-Up

  • 1. Diagnostic Testing and Treatment Adventures on Monday Morning: A Wrap-Up Louis B. Cady, MD – CEO & Founder – Cady Wellness Institute Adjunct Professor – University of Southern Indiana Adjunct Professor – Indiana University School of Medicine Integrative Medicine for Mental Health Conference Sedona, Arizona - September 17-18, 2011
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  • 3. “ Real doctoring”: The Chance to Change Patient’s BRAINS
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  • 9. 334 (217) citations on “DHEA with energy” – as of 07 29 2011
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  • 14. Slide from Dr. Greenblatt
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  • 16. Van Tiggelen, CJ - Journal of Orthomol. Psychiatry vol 13, no. 2, 97-104.
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  • 20. “ Too much of a good thing is…. WONDERFUL.” Mae West
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  • 32. “ Candida antibodies frequent cross-react with virtually every human tissue such as brain, thyroid, liver, heart.” - William S. Shaw, Ph.D.
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  • 35. Serotonin Quinolinic acid Gamma Interferon From immune System due to infection Kills cells containing bacteria, viruses, parasites. May also damage infectious organisms themselves. IDO causes drastic reduction in tryptophan for protein synthesis needed by infected cells and infectious organisms-tryptophan at very low levels Beta amyloid peptide-Alzheimer’s Excess tryptophan Causes failure to Kill infectious agents Cortisol Stress Reaction is NOT reversible
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  • 37. Before treatment (depression) HVA/VMA= 2.58 (Excess dopamine)
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  • 40. Do YOU Need an EFA panel?
  • 41. c. 10- 20X Omega 6:3
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  • 44. Metals analysis – useful to rule in or r/o toxins
  • 45. Case study presented by Dr. Shaw: 20 yo college student with bizarre symptoms, elbow pain, mental confusion, shaking episodes, flat affect
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  • 49. Nevin R: How Lead Exposure Relates to Temporal Changes in IQ, Violent Crime, and Unwed Pregnancy. Environ Res, 2000; 83:1-22.
  • 50. Arch Gen Psychiatry. 2009;66(12):1313-1319. Average blood lead levels were 1.61 micrograms per dL. One-fifth of participants had lead levels of 2.11 micrograms per dL, which made them 2.3 times more likely to develop major depressive disorder and 4.9 times more likely to develop panic disorder compared to other participants. Normal < 5.0 micrograms per dL.
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  • 58. Mental Health Support zeebra formulations Lithium Orotate DiZorb Methyl-Folate Daily Resource New Beginnings Nutritionals 913-754-0458 www.nbnus.com
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  • 60. From Chet Holmes - Grow Your Business 10X web presentation
  • 61. “ If you’re going to be thinking anyway, you might as well thing big.” - Donald Trump
  • 62. Perhaps the ability not only to acquire the confidence of the patient, but to deserve it, to see what the patient desires and needs, comes through the sixth sense we call intuition, which in turn comes from wide experience and deep sympathy for and devotion to the patient , giving to the possessor remarkable ability to achieve results. ...William J. Mayo, 1935
  • 63. Extra slides for further background follow in notes  See also: www.slideshare.com Contact info: Louis B. Cady, M.D. www.cadywellness.com Office: 812-429-0772 E-mail: [email_address] [email_address]
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  • 65. The Great Plains Laboratory, Inc. 175 compounds screened 73 different toxic chemicals Single morning urine October 2011
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Notas del editor

  1. Consistent with candida
  2. Immune modifications made to deprive microorganisms to not get enough tryptophan to “starve them out” Tryptophan can be converted to quinolinic acid which is excitotoxic and CAN CAUSE BRAIN DAMAGE. It also kills the cells that contain viruses, bacteria and parasites. Stress induces the enzymes that increase converstion of tryptophan to quninolinic acid Infection increases the conversion to quinolinic acid. Beta ayloid peptie also causes the induction of additional IDO and thus stimulates production of more quinolinic acid. This graphic shows how stress can be damaging by It was thought that there was ONE INGREDIENT in one batch of tryptophan (from japan) that caused EMS, but similar problems were found in with other types of typtophan Conversion of trytophan to 5-HTP is NOT REVERSIBLE which means that it is not possible for it to convert to quinolinic acid.
  3. Not making enough serotonin in relationship to quinolinic acid. VMA – breakdown product of norepinephrine 5HIAA – breakdown product of serotonin (which is how serotonin: quinolinic acid ratio is approximated. HVA - breakdown product of dopamine; elevated in pheochromocytoma and neuroblastoma. Smokers show lower amounts of HVA.
  4. Carbon monoxide: On average, about 170 people in the United States die every year from CO produced by non-automotive consumer products. These products include malfunctioning fuel-burning appliances such as furnaces, ranges, water heaters and room heaters; engine-powered equipment such as portable generators; fireplaces; and charcoal that is burned in homes and other enclosed areas. In 2005 alone, CPSC staff is aware of at least 94 generator-related CO poisoning deaths. Forty-seven of these deaths were known to have occurred during power outages due to severe weather, including Hurricane Katrina. Still others die from CO produced by non-consumer products, such as cars left running in attached garages. The Centers for Disease Control and Prevention estimates that several thousand people go to hospital emergency rooms every year to be treated for CO poisoning. Source US Consumer Product Safety Commission. http://www.cpsc.gov/cpscpub/pubs/466.html accessed 09 08 2011.