.

Skin Conditions

Acne Vulgaris

 

An inflammatory disease most commonly seen in teenagers. It affects areas where sebaceous glands are largest, most numerous, and most active. Mild cases consisting of few residual signs except possibly dilated pores, and the development  of the comedo, or blackhead,  may progress through more pathological  stages of ruptured sebaceous ducts, pustule formation, atrophy and scarring, to more extensive lesions involving the shoulders, trunk, and upper arms. In extreme cases the inflamed nodules and infected cysts canalize and become infected sacs. Bacterial and chemical irritation of the tissues occurs, with destruction and displacement of epidermal cells, and eventually, intense scarring and deformity.

The effect of the androgenic hormones on the pilosebaceous follicular apparatus is considered to be the basic cause of acne. It is not seen in eunuchs, but it can be induced in them by androgen therapy. Acne is so common

at puberty that it may almost be considered a physiological disturbance. It affects more than 80% of teenagers.

The most important contributory factor in this condition is diet. Certain foods appear to aggravate, or induce the onset of inflammation. Chocolate, certain grains, various proteins, cola drinks, and milk have been implicated. Above all, sugar and foods heavily laden with refined sugar, processed, packaged, and chemical-containing foods are responsible for much distress during the adolescent years. Refined, devitalized foods upset the endocrine balance and produce stress.

 

Contributing Factors

  • Hypochlorhydria Alcohol
  • Low fiber intake Anxiety
  • Bowel toxicity Stress
  • Endotoxins Environmental toxins
  • Food sensitivities (Especially egg, soy, peanut, chocolate, milk, potato)

 

Method of Treatment

Your care of your patients' skin fits well with your total therapeutic care of patients. Unhealthy skin distresses your patients as much as any other impairment of health that you strive to correct. It deserves the same time and attention you devote to maintaining the health of other body organs. As you change the conditions that encourage the formation of excess skin oil and its blemishes, you will use a five-step skin care program.

1. Providing expert skin cleansing advice. The troubled complexion must be cleaned twice a day

to remove the heavy oils that can block your patients' pores. Ordinary soaps and cleansers remove these heavy, greasy skin secretions poorly. The natural cleanser you provide removes these oils and helps restore health to troubled skin.

2. Ensuring adequate rest. A good sleep shuts down the oil production factory in the sebaceous gland, healing the skin. Your efforts to promote restful sleep will assist skin healing.

3. Eliminating harmful habits. When an unusual concentration of blackheads and pimples erupts in

one area, look for a cause. Usually the patient is rubbing, scratching, or touching this area, soiling the skin and grinding heavy skin secretions into the pores.

4. Dietary therapy. Meals heavy in fat, especially the saturated fat found in certain meats and snack foods, promote profuse skin oil production. Skin blemishes increase markedly. As you review your patients' diets, your suggestions about how to avoid these fatty foods greatly aids their skin care. A diet low in saturated fat not only improves the health of the skin, it also improves the health of the heart and other organs.

5. Specific nutritional supplementation will accelerate healing of skin and eliminate many of the deficiency reasons for acne.

 

Suggested Nutritional Supplementation

 

 

Acute Management (2- months)

  • Kaprex® - 1 softgel twice daily
  • Non-responders by day 5 move to 3 softgels daily
  • Time to benefit: Immediate to 10 days.

Kaprex is a clinically tested herbal dietary supplement that provides natural joint relief that is easy on the gastrointestinal (GI) tract. It works by interfering with signals in the body that initiate the production of

damaging compounds that cause minor pain and negatively impact cartilage and other joint tissues.

  • Ultra Flora I.B. - 1 capsule twice daily. (for 2 bottles)

Ultra Flora IB is an enhanced potency probiotic formula designed to help relieve bowel irritation

and related functional discomforts by promoting a healthy balance of intestinal microflora. Specific, strain-identified beneficial microflora-such as the probiotics Lactobacillus acidophilus NCFM® and

Bifidobacterium lactis found in UltraFlora IB-have been demonstrated clinically effective in relieving these

symptoms and improving reported quality of life.

  • D-53 Acnex - 2/3 dropperful under tongue for 20 seconds then swallow 3 times daily. Homeopathic preparation formulated expressly for acne vulgaris.
  • Colloidal Silver or Tea Tree Essential Oil - Topically apply to blemishes twice daily.

A potent antimicrobial, anti fungal; anti viral.

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

 

Recovery/maintenance

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

 

If toxicity is a concern

  • See Detoxification section

 

Dietary Suggestions

  • Modified Elimination Diet
 

Diffuse Depigmentation

 

A lightening of the skin color especially on the center of the face. Consider protein-calorie malnutrition.

 

Nutrients Involved

Protein calorie malnutrition, niacin

 

Suggested Nutritional Supplementation

 

  • Progain - 2 scoops mixed in water 1-2 times daily.

Targeted protein-calorie nutritional support

  • Lipotain - 2 tablets twice daily.

Nutritional support for healthy lipid levels with a unique, natural non-flush form of niacin.

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
 

Dry, Scaling Skin

 

Scaling and dryness of skin.

 

Nutrients Involved

Consider deficiency of vitamin A, zinc, essential fatty acids. Consider excess of vitamin A.

 

Suggested Nutritional Supplementation

 

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

  • Omega EFA - 2 softgels twice daily with food.

Omega-3 and omega-6 essential fatty acids with vitamin E.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
 

Eczema

 

Eczema, also called atopic dermatitis, is a chronic, inflammatory skin disorder. Its main features are blisters that dry to become scaly, itchy rashes. The skin becomes dry and itchy because too much moisture is lost from its upper layer. This leaves the skin without protection, making it easy for bacteria and viruses to penetrate. The disease occurs episodically; in other words, there may be periods when symptoms are severe (flares) and times when there are no symptoms at all (remission). Eczema is not contagious, but nevertheless it is very common- estimates are that more than 15 million people in the United States have eczema. People with eczema often have a personal or family history of allergic conditions like asthma or hay fever. There is no cure, but treatments can reduce symptoms and help prevent outbreaks.

 

Signs and Symptoms

Symptoms of eczema occur repeatedly. The most common signs of eczema are:

  • Dry, extremely itchy skin
  • Blisters with oozing and crusting
  • Redness of the skin around the blisters
  • Raw areas of the skin from scratching which may even lead to bleeding
  • Dry, leathery areas with more or less pigment than their normal skin tone (called lichenification)

Eczema in children under 2 years old generally begins on the cheeks, elbows, or knees. In adults, it tends to be located on the inside surfaces of the knees and elbows.

 

Causes

The cause of eczema is thought to be a combination of hereditary (genetic) and environmental factors. This means that factors such as allergies can cause eczema in susceptible people. Exposure to certain irritants and allergens (see Lifestyle section for further definition of these substances) in the environment can worsen symptoms as can dryness of the skin, exposure to water, temperature changes, and stress.

 

Risk Factors

  • Young age-infants and young children are most affected by eczema (about 65% of cases occur before age one, and approximately 90% occur before age 5)
  • Skin exposure to harsh conditions
  • Living in a climate with low humidity
  • Personal and/or family history of allergies to plants, chemicals, or food
  • Deficiencies of certain vitamins and minerals (for example, zinc)
  • Stress can make eczema worse
  • Irritants that may worsen eczema include:
  • Wool or synthetic fibers
  • Certain soaps and detergents as well as perfumes and some cosmetics
  • Dust or sand
  • Cigarette smoke

 

Preventive Care

Control of stress, nervousness, anxiety, and depression may help prevent flares of eczema. Mind/body techniques that have shown some success include cognitive-behavioral therapy, autogenic training, and these two techniques combined with learning about eczema.

Dietary restrictions that may help avoid flare ups include eggs, fish, peanuts, and soy. This is very individual and should be discussed with your health care provider. A doctor, dietitian, or naturopath, for example, can help you make these dietary changes and determine if the lack of these foods in your diet is reducing the incidence and severity of your eczema.

Although somewhat controversial, some studies have shown that children who are exclusively breast-fed for at least 4 months are less likely to get eczema. This is particularly true when the nursing mother has avoided cow's milk in her own diet.

Similarly,  recent  studies  suggest that babies whose mothers used probiotics during pregnancy and while breastfeeding were less likely to have eczema up to 2 years of age. (See Nutrition and Dietary Supplements section for definition and more information on probiotics.) Preliminary studies suggest that pretreatment of skin with creams containing omega fatty acids can reduce the severity of eczema or prevent eczema entirely.

 

Treatment Approach

The goals when treating eczema are to heal the skin, reduce symptoms, prevent skin damage, and prevent flares. Treatment may vary depending on age, symptoms, and general health. Developing skin care routines, identifying factors that trigger flares, and avoiding these triggers is a large part of any treatment plan.

 

Lifestyle

  • Avoid anything that aggravates the symptoms, such as allergens (substances to which the immune system overreacts) and irritants to the skin. Common allergens include pollen, dust mites, and animal dander. Common skin irritants include wool, synthetic fibers, soaps and detergents, perfumes, cosmetics, lanolin, certain chemicals such as chlorine and solvents (including mineral oil), cigarette smoke, dust, and sand.
  • Avoid scratching or rubbing affected areas
  • Protect skin from rough clothing and irritants
  • Be aware of emotional stress and try stress-reducing techniques
  • Keep your environment cool, with stable temperature and humidity

Dry skin often makes the condition worse. Remember to:

  • Avoid hot baths or showers; lukewarm water is best
  • Wash or bathe as quickly as possible to lessen water contact.
  • Use a mild soap or a non-soap cleanser, or less soap than usual.
  • Moisturize. After bathing, it is important to trap the moisture in the skin by applying lubricating cream on the skin while it is damp (within 3 minutes of bathing).

Parents can help their children by:

  • Providing distractions to prevent them from scratching
  • Keeping fingernails short to reduce chances of infection from scratching
  • Being aware that there may well be social and emotional stress associated with visible skin lesions;

additional support and encouragement may be needed

 

Nutrition and Dietary Supplements

Paying attention (even keeping a diary) to what you (or your child) eat and the effect it has on your skin (or your child's) may help you (or your child) avoid foods that provoke flares of eczema. Potentially provoking foods include peanuts, milk, soy, fish, and eggs. Foods high in saturated fats (like meat and full fat dairy) and trans-fatty acids (such as fried foods and hydrogenated oils) may stimulate inflammation as might sugar and highly processed foods. On the other hand, fresh fruits (particularly dark berries) and vegetables, whole grains, and foods rich in omega-3 fatty acids (such as nuts, flax, seeds, and cold-water fish) may reduce inflammation in those without sensitivities to these foods.

 

Supplements to consider and discuss with your healthcare provider include:

 

Gamma-linolenic acid (GLA)

GLA is an omega-6 essential fatty acid. Studies are mixed, but there is some evidence that the metabolism of essential fatty acids is abnormal in people with eczema, resulting in low levels of GLA. Several early studies suggested that GLA derived from evening primrose oil (EPO) is beneficial for relieving symptoms associated with this skin condition such as itching, redness, and scaling. However, more recent studies have not had the same positive results. Whether or not GLA or EPO supplements work for eczema may be very individual. Interestingly, preliminary studies show that pretreatment of skin with fatty acid-rich creams can reduce the severity of eczema

or prevent eczema entirely.

 

Probiotics

Probiotics, or "good" bacteria, inhabit the intestines and protect against the proliferation of "bad" organisms that can cause disease. Studies suggest that gut bacteria in babies at high risk for allergic disorders may be different from that of other babies. Two well-designed studies of mother-infant pairs showed that babies of mothers who took probiotics while pregnant and breastfeeding were less likely to have eczema in the first two years of life. The most commonly used probiotics are Lactobacillus species.

Sulfur

Sulfur is found abundantly in keratin, a protein that strengthens hair, nails, and skin. Sulfur baths, and other forms

of sulfur applied directly to the skin, seem to benefit eczema.

 

Suggested Nutritional Supplementation

 

 

Acute Stage - -    Weeks

  • DNA Homeopathic #D-23 (Eczema) - 2/3 dropperful under tongue 3 times daily.
  • Omega-EFATM - 2-4 softgels twice daily

Omega 3 & 6 fatty acids essential to human health

  • Ultra Flora Plus® DF Capsules - 2 capsules twice daily. (2 bottles)

Ultra Flora Plus DF Capsules is a non-dairy probiotic supplement that provides highly viable, pure strains

of Lactobacillus acidophilus (NCFM® strain) and Bifidobacterium lactis.

 

Recovery/maintenance

  • Perimine - One tablet twice daily with food

Patented, Flavonoid-Rich Perilla Seed Extract.

  • EndefenTM - Mix two level tbls. in 2 to 4 oz. of juice or water 1 to 2 times daily. Multi-dimensional support for GI health
  • Appropriate Wellness EssentialsTM formula - 1-2 packets daily

Key Vitamins & Minerals, Essential Fatty Acids, PLUS Patient Specific Nutrition.

 

Child Eczema

  • Ultracare for Kids® - Mix 1 level scoop in 8-10 oz. of pure, distilled, or filtered water.

Ultracare for Kids is a specialty medical food drink mix designed for children with food allergy-related

conditions

  • D-23 (Eczema) - 1 dropper full under tongue 2 times daily

Indications: Acute and chronic eczema, pimples, herpes, rashes and eschar

  • EPA-DHA Balanced LiquidTM - 1 teaspoon 1 to 3 times daily with food

EPA-DHA Liquid is an ideal source of health-promoting, antioxidant-stabilized, omega-3 essential fatty acids from purity-tested fish oil.

  • BifoViden IDTM - One capsule one to two times daily (capsule can be opened up)

BifoViden ID is a non-dairy probiotic supplement featuring 15 billion live organisms of a symbiotic, strain- identified blend of Bifidobacterium lactis and Streptococcus thermophilus.

 

Dietary Suggestions

  • Modified Elimination Diet
 

Erythema

 

A name applied to redness of the skin produced by congestion of the capillaries, crusting, desquamation. Increased pigmentation (even in Blacks), thickened inelastic, fissured, especially in skin exposed to sun; becoming scaly, dry, atrophic in intertriginous areas, maceration and abrasion may occur. "Necklace of Casals" in neckline exposed

to sun; Malar and supra orbital pigmentation.

 

Nutrients Involved

Niacin, vitamin B6, essential fatty acids

 

Suggested Nutritional Supplementation

 

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

  • Lipotain - 2 tablets twice daily.

Nutritional support for healthy lipid levels with a unique, natural non-flush form of niacin.

  • Omega EFA - 2 softgels twice daily with food.

Omega-3 and omega-6 essential fatty acids with vitamin E.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
 

Flaky Paint Dermatosis

 

Skin becomes hyperpigmented and keratin separates in flakes. Consider protein-calorie malnutrition.

 

Nutrients Involved

Protein calorie malnutrition, niacin

 

Suggested Nutritional Supplementation

 

  • Progain - 2 scoops mixed in water 1-2 times daily.

Targeted protein-calorie nutritional support

  • Lipotain - 2 tablets twice daily.

Nutritional support for healthy lipid levels with a unique, natural non-flush form of niacin.

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
 

Follicular Hyperkeratosis

 

A skin  condition  characterized  by  hyperkeratosis of hair follicles, resulting in rough, cone-shaped, elevated papules, the openings of which are often closed with a white plug of encrusted sebum. ("Goose flesh", "shark skin", "sand-paper skin")

 

Nutrients Involved

Deficiencies of vitamins A, E, B complex, and essential fatty acids have all been implicated in the etiology. Called

also phrynoderma and toad skin.

 

Suggested Nutritional Supplementation

 

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

  • Omega EFA - 2 softgels twice daily with food.

Omega-3 and omega-6 essential fatty acids with vitamin E.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
 

Hyperpigmentation

 

Color of skin changes to red and then to brown. Consider pellagra, niacin deficiency, and protein-calorie malnutrition associated with kwashiorkor.

 

Nutrients Involved

Protein calorie malnutrition, niacin

 

Suggested Nutritional Supplementation

 

  • Progain - 2 scoops mixed in water 1-2 times daily.

Targeted protein-calorie nutritional support

  • Lipotain - 2 tablets twice daily.

Nutritional support for healthy lipid levels with a unique, natural non-flush form of niacin.

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
 

Impetigo

 

A superficial vesiculopustular skin infection mainly seen in children. Also called "impetigo contagiosa" and "ecthyma" (when the impetigo is ulcerative).

The associated microorganism is primarily Group A beta-hemolytic streptococcus, although staph aureus is being implicated in a growing number of cases (in the past staph was limited to only bullous impetigo). Impetigo is primarily seen in children under 5 years old, and appears on exposed areas like the lower legs, arms or face. The infection may follow trauma to the skin, scabies, insect bites, fungal infections, fleas, various kinds of dermatitis,

or may just appear on normal skin.

Untreated infection may develop into cellulitis, lymphangitis, or furunculosis and there may be pigment changes and/or scarring of the affected tissues. Acute glomerulonephritis may develop in children after skin infection with strep.

 

Symptoms

  • Lesions: rapid progression of lesions from maculopapules to vesicopapules or bullae, and a thick, honey- colored, sticky exudate that crusts
  • Itching: scratching can easily spread the infection
  • Ecthyma: localized, shallow, punched-out ulcerations that are covered with a brown-black crust and surrounded by erythematous tissue; may progress rapidly and leave a scar
  • Fever, malaise and lymphadenopathy

 

Nutrients Involved

Vitamin A, vitamin C, vitamin D, vitamin E

 

Suggested Nutritional Supplementation

 

  • ImmuCore - 1-3 tablets twice daily with food.

Comprehensive nutrition for the immune system

  • E-Complex 1:1 - 1 softgel twice daily with food.

Optimal ration alpha and gamma tocopherol blend in a mixed tocopherol complex.

  • Appropriate Wellness EssentialsTM formula - 1-2 packets daily

Key Vitamins & Minerals, Essential Fatty Acids, PLUS Patient Specific Nutrition.

 

Dietary Suggestions

  • FirstLine Therapy® Diet
  • Increase foods rich in vitamins A, C, D, and B-complex
  • Include foods such as black bass, rye, avocados, sea vegetables, apple, cucumbers, millet, rice

bran, rice polishings, and sprouts

  • Increase fluids; fresh juices such as carrot- celery-lemon and cucumber-endive-pineapple
  • Avoid heavy protein foods, fats, meats, vinegars, shellfish, sugars
 

Psoriasis

 

Psoriasis is a skin disorder that appears as raised, reddish-pink areas covered with silvery scales and red borders. Psoriasis usually appears on the scalp, elbows, knees, groin, and lower back. It "comes and goes," and may appear as a few spots or involve large areas. It is not contagious, either to other body parts or to other people. More than 6 million people in the United States have psoriasis, which is seen in both sexes and all age groups.

It can be triggered by emotional stress and can run in families. Most cases are not painful, although severe ones can be. Approximately 5 percent of psoriasis sufferers develop psoriatic arthritis, which involves painful and swollen joints.

 

Signs and Symptoms

The following are symptoms of psoriasis:

  • Raised skin lesions, deep pink with red borders and silvery surface scales. May be cracked and painful in

severe cases

  • Blisters oozing with pus (usually occurs on the palms or soles)
  • Pitted, discolored, and possibly thickened fingernails or toenails
  • Itchy skin in some people
  • Joint pain (psoriatic arthritis) in some people

 

What Causes It?

The cause of psoriasis is unknown, but researchers do know that it involves a higher-than-normal rate of skin- cell production. Dead skin cells accumulate and form thick patches. Some researchers believe there is a genetic component, and that a faulty immune system may be involved. Several underlying factors may trigger the disorder

or flare-ups, including the following:

  • Emotional stress
  • Obesity
  • Skin injuries or sunburn
  • Streptococcal (strep) infection (symptoms sometimes first appear 2 weeks after strep throat)
  • Cold or dry air
  • Certain drugs (gold, lithium, beta-blockers)
  • Alcohol

 

Treatment Options

Your provider may suggest one or several different treatment options.

  • Topical creams and lotions
  • Medications
  • Phototherapy (ultraviolet light therapy)
  • Changes in your diet
  • Vitamin or mineral supplements
  • Exercise
  • Elimination therapy (in which you discontinue taking certain medications or eating certain foods)

 

Suggested Nutritional Supplementation

 

  • ActiFolate® - 2 tablets daily with food

An all-inclusive 3-combination, metabolically active source of folate nutrition

  • EPA-DHA 6:1 - 2 softgels 2-3 times daily with meals

Intensive support softgels featuring highly concentrated EPA

  • Kaprex® - 1 softgel twice daily
  • Non-responders by day 5 move to 3 softgels daily
  • Time to benefit: Immediate to 10 days.

Kaprex is a clinically tested herbal dietary supplement that provides natural joint relief that is easy on the gastrointestinal (GI) tract. It works by interfering with signals in the body that initiate the production of damaging compounds that cause minor pain and negatively impact cartilage and other joint tissues.

  • E-Complex 1:1TM - 2 softgels daily with a meal

E Complex-1:1 is a unique, natural vitamin E supplement that features a 1:1 ratio of alpha- to gamma- tocopherol; this ratio more closely resembles the tocopherol profile found naturally in vitamin E-rich plants

  • Wellness EssentialsTM - 1 packet twice daily.

Daily foundation nutrition plus advanced detox support.

 

Other considerations:

Hydrochloric acid deficiency is sometimes associated with psoriasis. If seen:

  • Metagest® - 1 tablet at the end of each meal for 4-6 weeks or until symptoms subside.

Metagest features betaine HCl combined with pepsin-a proteolytic enzyme-to complement the natural

production of digestive agents in the stomach.

Fat malabsorption, biliary sluggishness, and liver dysfunction are often associated with and possibly a

contributing factor in psoriasis. If seen:

  • Lipo-GenTM - 2 tablets 3 times daily with meals for 4-6 weeks or until symptoms subside.

Lipo-Gen is a highly specialized formula that features a broad-spectrum and unique blend of lipotropic nutrients combined with select amino acids, vitamins, and herbs to support healthy liver and gallbladder function.

 

Dietary Suggestions

  • Anti-Inflammatory Diet
 

Scleroderma

 

A chronic disease of unknown etiology characterized by inflammatory, vascular, and fibrotic changes of the skin, internal organs (G.I. tract, esophagus, thyroid, kidney, heart, and lungs) and articular structures. It is also called Progressive Systemic Sclerosis (PSS).

The skin thickening and restriction follows an idiopathic overproduction of collagen. The disease is highly individual

in terms of severity and progression. Some patients may experience only skin changes and restrictions in the hands and face for decades before visceral or organ involvement begins. Others may rapidly develop generalized cutaneous thickening and often lethal internal organ disease. The full manifestation of the disease is known

as the CREST Syndrome: Calcinosis, Raynaud's phenomenon, Esophageal dysfunction, Sclerodactylia, and

Telangiectasia.

Scleroderma is seen in women four times as often as in men, and is rare in children. It is found worldwide but more rarely in Asia. The usual age of onset is around 20-40.

Although the course of the disease is variable and unpredictable, it is characterized by a slowly progressing involvement of the skin and/or visceral organs. Remissions are rare but do occur. The disease is typically very gradual: 80% of patients will be alive after 2 years and 20% will be alive after 10 years. The disease is most severe in black women; in whites, men are often affected worse than women. The usual causes of death are renal, cardiac and/or lung complications.

 

Symptoms

 

Initial complaints include:

  • Raynaud's phenomenon
  • Skin thickening of the fingers
  • Swelling of the extremities

 

As the disease progresses:

  • Skin becomes hyperpigmented
  • Skin of the whole upper body may become firm, leathery; the face looks mask-like; the lower extremities

are not usually affected much

  • Flexion contracture of the fingers, wrists, elbows
  • Subcutaneous calcifications or ulcers develop on the bony prominences
  • Telangiectasias
  • Skin becomes dry and rough and loses hair and the ability to sweat
  • Restricted opening of the mouth
  • Esophageal dysfunction: the esophagus is the most commonly involved visceral organ: dysphagia,

regurgitation of stomach contents, and peptic esophagitis often occur

  • Joint pain, swelling, stiffness of fingers and knees
  • Small intestine involvement: malabsorption, steatorrhea, weight loss, bloating, abdominal pain
  • Large intestine involvement: chronic constipation and fecal impaction
  • Respiratory/cardiovascular involvement: fibrosis of the lungs causes exertional dyspnea, dry cough,

pleurisy; cardiac problems: causing 15% of PSS deaths: include arrhythmias, pericarditis, and conduction

disturbances.

  • Renal involvement: causes half the deaths of PSS: acute failure causes rapid development of severe

(possibly malignant) hypertension

 

Nutrients Involved

  • Vitamin E, PABA

Suggested Nutritional Supplementation

 

Core Nutritional Support Protocol

  • UltraInflamX® Plus 360 - 2 scoops twice daily

Multi-mechanistic support with key nutrients, phytonutrients, and selective kinase response modulators (SKRMs) to address underlying inflammation.

  • Follow either the Modified Elimination Diet or the Anti-Inflammatory Diet
  • LactoFlamXTM - 1 capsule daily

LactoFlamX features L. plantarum 299V - a strain-identified probiotic that has been specifically shown to support the integrity and healthy function of the muscosal lining.

  • EPA-DHA 6:1TM Enteric Coated - 2 softgels three times daily.

EPA-DHA 6:1 Enteric Coated omega 3 fatty acids providing a ratio appropriate for patients with chronic inflammatory conditions.

 

3

Iso D TM - 1 tablet three times daily.

Vitamin D3 with Isoflavones.  Iso D3 is designed to support optimal metabolism of vitamin D to its

active form.

If there is a soy sensitivity use:

 

3

D 1000TM - 2 microtablets three times daily.

High potency vitamin D3 - the most bioactive form of supplemental vitamin D.

 

 

 

Additional Nutritional Support Considerations

 

Body composition management

  • High BMI - Introduce lower calorie Modified Elimination or Anti-inflammatory Diet
  • Low BMI - Introduce higher calorie Modified Elimination or Anti-inflammatory Diet and measure hsCRP
  • If hsCRP is greater than 1.5mg/l then increase Kaprex® AI to 2 tablets, three times daily

 

Insulin resistance and dysglycemia

  • MetaglycemXTM - 2 tablets, three times daily

 

Sex hormone dysregulation

  • EstroFactors® - 3 tablets daily.
  • Meta I3C® - 2 capsules daily.
  • ActiFolate® - 1 tablet, three times daily.

 

Hepatic detoxification imbalances/Drug or Chemical toxicity

  • AdvaClear® - 2 capsules twice daily.

 

Gastrointestinal Restoration (4R Program)

  • EndefenTM - 1 tsp, three times daily.
  • UltraFlora I.B.TM - 1-2 capsules daily.
  • Glutagenics® - 2 tsp, three times daily.

 

TH1 dominance or chronic allergy

  • EstroFactors® or Testralin® - 3 tablets daily.

 

Impaired biotransformation or hepatic detoxification imbalances

  • AdvaClear® - 2 capsules twice daily.
  • Silymarin 80 - 3 tablets daily.

 

Oxidative stress

  • Oxygenics® - 2-6 tablets daily.
  • Celapro® - 2 softgels daily.
  • MetaLipoate® 300 - 1 tablet twice daily.

Vitamin A insufficiency

  • Ultra Pure Cod Liver OilTM - 1 tsp, three times daily

 

Thyroid Support

  • Thyrosol® - 1-3 tablets twice daily

 

Dietary Suggestion

  • Anti-Inflammatory Diet


 
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