Herbal Medicine Meets Clinical Science

Alternative Medicine MeetsClinical PharmacyDaniel T. Wagner, R.Ph.,Pharm.D., MBA, Herbalist, CBM

Objectives Describe the multi-factorial state ofwellness and optimal nutrition Define “integrative” pharmacy practice as afusion between allopathic drugs, naturalmedicines, nutrition and energy medicine Contrast the effects and side-effects of concomitantly taking both medicines Describe 20 leading alternative products onthe American market- risks vs benefits

DISCLOSURE STATEMENT The presenter for this activity has beenrequired to disclose all relationships withany proprietary entity producing health caregoods and services, with the exemption ofnon-profit or government organizations andnon-health related companies. No significant financial relationships withcommercial entities were disclosed by anyof the speakers

Health : A Multifactorial State ofWellness Goals:––––––state of personalized well-beingbalancing stressoptimal cognitionless trouble with illnessdietary improvementharnessing personal & family quality of life

The Targets of OptimalNutrition Optimal Biochemical BalanceImproving Resistance to Microbial InsultXenobiotic ProtectionManaging Stress .without StressReducing Chronic DegenerationWellness & Rejuvenation

What is “Integrative PharmacyPractice” What does‘alternative” reallymean . The fusion of naturalmedicine, nutrition,and frequencymedicine in relationship with allopathicmedicine. Focus on educatingthe public aboutdisorders, nutrientdepletion for morecomprehensive mgt. Informed self-care Allow the pharmacistto play a larger role(with physician) in thehealthcare process.

Reductionist vs Integrative Allopathic medicine was formed during thetime medicine wanted to be specific andunderstand cause and effect- 100 years ago! 1930s: AMA instituted different approachestoward disease & illness and applied a strictdefinition of legitimacy based on whichapproaches were supported by reductionistscience. Systems not supported by thisapproach were eliminated from the canon.

Canon of Health Care “There is one cause, one disease, and onetreatment.” “A bacteria is a bacteria is abacteria kill it (antibiotics) Reductionist science dictated that if medicalschools wanted funding & authority to grantlicensure, they converted. The ‘toolbox’ for cancer was established:surgery/radiation/chemo was called the‘standard of care.’

Mary Buninger, M.D.“Since the 1950s, we’ve landed on the Moon,created cordless tools, put satellites in space,developed computers and the Internet,invented MTIs and PET scans, made DNAfingerprinting a courtroom standard, andmapped the human genome. Yet we havecome no closer to winning the WAR ONCANCER.”

Integrative Approach Cancer is a syndrome, not one disease, sothere is more than one way to treat it. Not everyone has the same ‘cancer.’ Integrative practitioners are moving theviewpoint forward, and there protocolreflect the idea that cancer can require manyapproaches. It is the element of a largecookbook of protocol options, not any oneelement always brings success.

Achieving A Nutritional Baseline Macronutrients– Water– Proteins– Carbohydrates– Fats Micronutrients– Vitamins– Minerals– Antioxidants– Phytochemicals

Wellness Lifestyle

pH Levels 7.0 neutral water7.4 blood7.1 saliva cells1.5 stomach juices2.5 cola3.2 diet soft drinks4.7 beer7.8 bottled water8.4 filtered tap water

Reasons to Avoid an Acidic pH Corrodes arteries, veins, heart tissue. Accelerates oxidative stress Causes the GI tract (gut) to be more acidiccreating ideal environment formicroorganisms Inhibits metabolism of energy reserves. Inhibits cellular regeneration & DNA. Inhibits oxygenation of tissues.

Best Ways to Alkalize Drink water Baking soda (sodium bicarbonate) Consume more SuperGREENS (e.g., kale,spinach, spirulina, chlorella, green algae) Minerals Lemons Limes

NATURAL MEDICINEMEETSCLINICAL SCIENCEMedications that may rob the bodyof essential nutrients

Drug Related Problems &Prospective Drug Use Review Adverse drug reactionsDrugs used without indicationImproper drug selection, over/sub dosageDrug-nutrient depletionDrug-drug interactionsDrug-herb-nutrient interactionsDrug-food-nutrient interactionsDrug-allergy interactions

Calcium Vital Info Vitamin D is necessary for calcium absorption Calcium Carbonate is not well absorbed, CalciumCitrate appears among the most bioavailable Maintain Cal/Mag levels of approximately 1:1 Depletions: antibiotics, acid blockers, BP drugs,antacids, aspirin, antiviral drugs, digoxin,hormone replacement drugs, laxatives, SERMs. Don’t take calcium/magnesium supplementswithin 3 hours of taking thyroid medicines.

Magnesium Useful in protection against heart disease An important component in every cell in body Essential for enzyme systems, protein synthesisand contraction of muscles & nerve function. Depletions: acid blockers (PPI), antacids, antibiotics, BP drugs, anti-virals, steroids, hormonereplacement drugs, Immunosuppressants Low levels in most Americans (especiallywomen over 35). Low levels may be responsiblefor 30% of headaches/migraines/leg cramps.

Vitamin C A water-soluble vitamins that supportsimmune system function and collagenhealth. Vit C helps form red blood cells, providesantioxidant protection against free radicals. Important for allergy and asthma patients. Depletion: acid blockers, aspirin, antacids,NSAIDs, anti-virals, BP drugs, antibiotics

Vitamin D3(Cholecalciferol) A fat-soluble vitamin (hormone) thatpromotes the absorption of calcium andphosphorus in development of teeth, bones. The ‘sunshine’ vitamin, Protects fromcancer, depression, insulin sensitivity, liver& kidney dysfunction, cavities. Depletions: cholesterol agents, PPI,antacids, antibiotics, BP drugs, steroids

B-Complex Water soluble vitamins that include B1, B2, B3,B5, B6, B12, folic acid, biotin The B’s are important for nerve regeneration andfunction. They rejuvenate nerves associated withenergy, hair growth, digestion, blood cells,improve circulation and arteries. Depletion: acid blockers, antibiotics, BP drugs,anticonvulsants, bronchodilators, diabetic drugs. Vegetarians & diabetics need extra Vit B12

Probiotics At least 400 different species of micro-orginhabit the human G.I. Tract-pathogenicorganisms cause disease-symbioticmicroorganisms benefit human health. Best sources: supplementation, yogurt,cultured milk products, high fiber diets. Depletions: all PPI, all antibiotics, antacids,virtually all prescriptions meds, OTC meds

Digestive Enzymes Are produced primarily from the pancreas. Support proper digestive function, gastricemptying, breaking down fats & proteins. Insufficiency can cause gas, bloating, IBS. Both animal and plant sources. Take pepsin with HCL when low stomachacid (especially with PIP drugs)

Coenzyme Q-10 (Ubiquinone) Critical nutrient for the integrity of thecardiovascular system (angina, hypertension,heart disease, arrhythmias and high cholesterol) Powerful antioxidant that can decrease theproliferation of free radicals (immune function) Useful in treatment of M.S., Alzheimer’s, cancer,chronic fatigue, Parkinson’s symptoms. Depletions: Cholesterol agents, PPI, BP drugs,antibiotics, blood thinners, anti-depressants,diabetic drugs, cancer agents, HIV drugs

Omega 3 Fatty Acids A blend of natural oils from fish & algae Primary clinical use is cardiovascular,support of BP, lower inflammation-CRP Used for brain health, mood and focus. Joint & bone health & comfort, hair & skinhealth, GI, respiratory, and immune system. No more than 2,000mg/day with warfarin

Iodine Iodine is critical for the health of the thyroidgland, that plays a part on many of thebody’s processes including growth & development, body temperature, and metabolism. Dietary sources include iodized salt. kelp May increase performance, help keep anideal weight, cholesterol metabolism, andgeneral sense of vitality. Use in caution with Synthroid/levothroid

AntioxidantsBenefit your body by neutralizing free radicals.Free radicals are unstable, short-lived moleculesthat contain an unpaired electron in their outershell. They boost immune system, increaseoxygen to body (neutralize oxidative stress).The most commonly known antioxidants areVitamin C, E, Beta Carotene, and Selenium.Others include: quercetin, alpha lipoic acid, NAC,lutein, melatonin, CoQ10, copper, lycopene,manganese, carnosine, rutin, grape seed, soy, Lglutathione, zinc and green tea.

Milk Thistle Principle constituent: Silymarin (seed), 70% Anti-oxidant, Cholagogue and Hepatoprotect Effective in Tx Liver diseases includingcirrhosis, hepatitis, jaundice, alcohol-induced Counteracts effects of acetaminophen overdose,pesticides and heavy metals Also used in psoriasis, antiallergic, antiinflammatory, renal protection, varicose veins. Support detoxification via antioxidant activity. No drug interactions

Pycnogenol The SUPER anti-oxidant, listed as aproanthocyanidin-bioflavonoid. Similar to grapeseed extract and red wine extract. An extract from French Maritime Pine Tree Protects against vascular rigidity, antiinflammatory, lowers histamine levels, improvescirculation, and tennis elbow. Encouraging research in Tx of ADHD, HIV,cancer and natural killer cells Contraindicated with blood thinners, aspirin

Resveratrol A protective compound produced by grapes,wine, cranberries, grape juice in response toenvironmental stresses. It is a polyphenol, a natural antioxidant. It is also a phytoestrogen. It supportswomen’s health during/after menopause. Helps support cardiovascular system, candecrease stickiness of platelets, decreasesfree radical damage.

Useful herbal products Saw palmetto- prostate, urinary frequencyEchinacea- colds, flu, infections, WBCsHawthorn- cardiac benefits, high BP, anginaGinkgo-vasodilator, tinnitus, vertigo, brainGarlic- lower chol/TG, lower BP, thrombicLicorice- ulcers, reflux, anti-inflammatoryGinger- antiemetic, arthritis, ulcers

What is the ETAscan? ETAscan is a BioEnergetic assessment,visualization, and normalization device thatcan aid the balance and return of the humanbody to its natural form and function. ETAscan provides powerful & usefulvisualization of the energetic conditions ofthe body’s physiology. Patients can seewhere there are energetic blocks in theirbody are, what the nature of the imbalancesmay be.

How does the ETAscan work? ETAscan is based on the knowledge ofquantum effects on biological systems.Every organ and cell has their own distinctoscill-ation or wave frequency patternwhich is stored in the ETAscan memorybank. Each graph represents the conditionsof the info exchange between the tissue andthe environment. The database is compliedfor healthy tissue based on age and gender.

ETAscan Based on recognition of algorithims,ETAscan can give indications ofunbalanced tissues, food sensitivities,pollutants, allergies, bio-energetics,hormonal balance, homeopathics, emotionalcauses, pathology, parasites, microorganisms, and chakra imbalance. It displays similar matching wave functionsas predicting ascending order of importance

Dr. Dan’s Blog Dr. Dan WagnerWildwood Wellness LLC2524 Wildwood Rd, PO Box 279Wildwood PA 15091412-486-6263www.askdrdanwagner.info

Best Ways to Alkalize Drink water Baking soda (sodium bicarbonate) Consume more SuperGREENS (e.g., kale, spinach, spirulina, chlorella, green algae) Minerals Lemons Limes. NATURAL MEDICINE MEETS CLINICAL SCIENCE Medications that may rob the body of essential nutrients. Drug Related Problems & Prospective Drug Use Review .