IV Therapy. Try it Today!

Among the most common complaints I hear from patients is fatigue, including mental and emotional exhaustion. We have all heard much about the growing income gap between the top 1% of earners and the rest of us. That gap is now wider than it was during the “Robber Baron” period in the early 1900’s. That means that we “commoners” are working ever-harder-and-longer to make and keep less buying power than our parents had. Thus our fatigue.

There are societal and fiscal solutions to this problem that go beyond each of our dreams of winning the lottery. But how do we deal with the crippling fatigue? We are not meant to live in a perpetual crisis of stress; it is not necessary that we sort-of-exist in a constant state of decline most of our adult lives.

Addressing and reversing this decline, this “zombie-ism”, is one of the many things we at Upper Valley Family Practice and Urgent Care do to support real “wellness”. We treat the usual illnesses and injuries here like any medical office would. But our care for the “high-stress/half-life” syndrome goes far beyond checking your thyroid and giving you Prozac. I have mentioned in a previous blog our new Heart Rate Variability (HRV) and Body Impedance Analysis (BIA) testing. These tell us the nutritional status of your autonomic nervous system, the part that runs without you telling it what to do (think digestion, temperature control, heartbeat, etc.) This is worn down by chronic stress and worry. Half of all the sudden cardiac deaths in the U.S. happen in patients with clean coronary arteries (no plaque or plugging). These cardiac deaths occur because of “dysautonomia” or malnutrition of the autonomic nervous system due to chronic stress. The HRV and BIA tests tell us there is a problem. Then, using a simple overnight urine test, we can actually tell you the exact nutritional and metabolic deficiencies that are causing your fatigue! With stool testing we can discover why you are not absorbing those vitamins, minerals, amino acids, and co-factors from your diet (what is wrong with your gut health.) We then replenish those deficiencies with intravenous (IV) nutrition, giving your entire body (gut, heart, autonomic nervous system, etc.) exactly the elements we have measured to be insufficient. We do this weekly for 6-8 weeks before switching to oral replenishment once your gut function is back to normal (through the IV therapy).

What patients notice is almost immediate restoration of energy, vigor, and health. This therapy has been effective for fibromyalgia, chronic fatigue syndrome, chronic pain sufferers, chronic migraine patients, asthma, depression, allergies, and even cardiovascular disease. For these patients, the analysis and IV therapy is life-changing. They literally get their lives back, often after many years of “Band-Aid” care (like taking Prozac).

What we are doing at Upper Valley Family Practice and Urgent Care is providing our patients with “wellness”, a state of preventative health information and vigor that allows them to enjoy their lives to the fullest. We don’t mass-produce anything. Everything we do for our patients is done after carefully listening to their unique symptoms, and then testing to confirm our presumptive diagnosis. And then we treat as naturally as we can and follow through to ensure the improvement we expect. If this sounds like medical care you want, please call us (356-8883) and come in to get started on your path to the wellness you deserve!

Salivary Testing is Important

Upper Valley Family Care

I have mentioned in a couple of previous blogs that we rely heavily on salivary testing to measure hormone levels. Most of you probably snored through that the way you listen to a High Council speaker. But a few of you were thinking, “Salivary testing??—you mean you measure spit??—really??? How come? Why not use blood like everyone else does?”

We all live in the cells of our body. We perceive with the cells of our brain, we feel with the cells of our nervous system, we move by using our muscles cells, we circulate oxygen in our red blood cells. We don’t do any of those things in the serum in our blood which is what is usually measured in traditional labs and doctors’ offices (including ours). But if I really want to know whether or not you have the proper balance of estrogen and progesterone in your cells or if low cortisol levels in your cells are the reason for your perpetual fatigue and “fog”, then I would want to measure fluid from inside the cells, RIGHT?? Since it is real hard to skewer a cell and carefully collect and measure its miniscule amount of fluid, the functional solution is to collect and measure some fluid that comes from the cells of the body. So we could measure sweat, or tears, or semen, etc. But all of us make about a quart and a half of saliva daily, and it is made by the acinar cells of our salivary glands (it comes from our cells). It doesn’t require any needles to collect (you only have to drool) and it is less expensive than testing blood. So collecting and measuring saliva provides a perfect window into the hormonal state inside our cellswhere you and I really live our lives.

The power of such accurate measurement is that it allows us to very accurately know how to exactly restore you to health and full vigor. Remember feeling good? Can you remember when vigor was more than just a word in the last part of the dictionary?? All of us must get older, but we don’t have to diminish, we don’t have tlive in decline the last half of our years. The key is knowing how the body works, accurately measuring what is out of balance, and then restoring the hormone abnormality with safe and effective Bio-Identical Hormones. That is an important part of what we do here at Upper Valley Family Practice and Urgent Care. Our reason for deserving your trust is that we come to work every day to make you feel better, through and through. And we do it as naturally as you want us to.

So do you want to feel good again? Do you want to experience vigor again?? Give us a call (356-8883), make an appointment, and come in and see if you aren’t treated better than you have ever been treated before! We are here 8AM-8PM Monday thru Saturday to help you! If you want to feel really good, give us a try!

Providing the Best Care Possible

Do you know anybody who thinks the issues of the world are either “black or white”, “all or nothing”??
If you are at all like me, such a person has been in your mirror off and on all your life. That tendency can be made even more stubbornly entrenched by an “MD” behind your name—it seems almost to be part of our training. But as I have gotten older and I have lived life more and more aware of my weaknesses and of others’ strengths and value, I have become much more comfortable with “in between”, with “grey”. In fact, when it comes to issues, principles, judgment and criticism, grey has become my “favorite color”.

The same is true of medical conditions. We are taught in school that you either have hypertension (over 140/80) or you don’t; you either qualify above or below a rather arbitrarily set “line” with diabetes too. I was taught that one either has cancer or she doesn’t. Yet now we know that breast cancer cells have usually been present for at least 10 years before a small nodule can be felt by the patient. The longer a thoughtful doctor practices, the more he/she should realize that life is seldom “all or nothing” and that a medical condition is rarely “black or white”.

This comes up a lot when considering the issue of fatigue. Every doctor will routinely check for anemia and low thyroid and finesse any treatment for these according to the size of the problem discovered. But when it comes to checking for sex hormone imbalance or cortisol levels (a natural steroid made to allow for a stress response), old habits of rigidity from medical school keep most doctors from considering “grey”. To have a cortisol abnormality, so the dogma goes, one must either have Cushing’s disease (an absolute excess of cortisol) or Addison’s disease (a total absence of cortisol that is fatal if not discovered and treated). I have diagnosed and treated 2 patients with Addison’s disease in my entire career and no cases of Cushing’s disease. But I have treated thousands of patients with varying degrees of Adrenal Fatigue who are constantly tired and underperforming, appearing depressed. These people are not on either extreme; they are in the middle somewhere, they are in the large “grey zone” between extremes where most all of us live our lives. In the case of sex hormone balance, many women go through all of their grown up lives having regular periods, but suffering chronic fatigue, insomnia, and low-to-absent libido. Because their cycles are regular, their doctors don’t consider the possibility of hormone imbalance and end up prescribing an anti-depressant and Ambien. All or nothing thinking here again. Except this problem hits a little closer to home with nearly everyone who reads this.

You see, life is mostly grey. That is where most patients are living. If you are a doctor who only sees black and white, you will over react to some patients’ needs and tell many other patients who are feeling poorly that there is nothing wrong with them. (Hitting still closer to home, aren’t I?)

You will NEVER be told at Upper Valley Family Practice and Urgent Care that “you are fine—it’s all in your head”. If you are here in our office feeling badly, then it is our job to find out why. Sometimes we will find true absolute diseases (I have diagnosed Addison’s disease twice after all…). But usually Sana or I will listen to you describe your symptoms a long time, ask a lot of questions, and then start probing through “grey” to find what is wrong. We utilize a greater breadth of diagnostic testing and more proven natural treatments than any other office in this part of the state. It is not your burden to fit your symptoms into our limited medical knowledge and training; it is absolutely our responsibility to enlarge our expertise to include and successfully treat your unique problem(s) and restore you to total health and vigor. That is our only justification for being here; we are here to make you feel as good as you want to feel!

If that sounds too good to be true, you will never know until you call (356-8883), make an appointment, and give us a try. Read through other blogs and see if they feel “right” to you. We look forward to an opportunity to show you that we are simply here to give you medical care like you have never had before.

Salivary Testing and why it Works!

Previously, in other blogs, I have referenced “salivary testing of hormone levels”.

For those of you who have never heard of that before, your typical response would be something like,
“Saliva? What’d you say? Did you say SALIVA? Is that sort of like a medical SNIPE HUNT, DOC??” Your first impulse would be to consider it a joke, like scheduling a colonoscopy on April 1st….!

Well, salivary testing is NOT a joke. Salivary testing has been around since the 60’s and has been proven to be MORE accurate than blood hormone testing over and over again. We live our lives in the cells of our mind and our body, not in the blood stream. Hormones travel in that very crowded blood stream from the glands that make them to their target organs. They travel almost completely bound to proteins with between 1 and 5% unbound. Only that small part of the total may leave the blood stream and enter into their target cells to accomplish their purpose. Measuring free hormones in a blood sample involves first measuring the total hormone and then subtracting out the amount of carrier protein in that blood and subtracting to find the unbound or “free” hormone. But is that 1% or 5%? Not sure?  Well, that is a 400% difference, but the labs that make their living with blood tests would convince you that such is the best that can be done. But what if you measured a liquid MADE BY a cell or group of cells?? Ok, sweat might work; yes, or tears, or….Eureka! We all make over a quart a day of saliva and that is made by the acinar cells in the salivary glands!! And no needles are involved?? And it is CHEAPER THAN BLOOD??? Well, OK then!!!

Truthfully, salivary hormone testing is superior to blood testing for all sex hormones and cortisols. We send you home with a “kit” that includes some vials and you collect your “drool” in the privacy of your own home (usually alone in the bathroom so your spouse doesn’t laugh at you….). Then you bring the samples by and we send them off for you. 10 days later the results come by computer and we get you back in to see what we have learned. Easy peasy (and accurate!).

You can’t manage what you can’t measure. So measure well in order to treat well. That is what we are all about at Upper Valley Family Practice and Urgent Care. Give us a call (356-8883) and come in; it is a sure path to feeling better soon!