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“Catching Things Early” Supplementing Perfectly John Whitcomb, MD Green Bay Business Forum March 2nd, 2011
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“Catching Things Early” Supplementing Perfectly

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“Catching Things Early” Supplementing Perfectly. John Whitcomb, MD Green Bay Business Forum March 2nd, 2011. Objective. Explain the 50,000 foot picture of what modern medicine does What we really want from health care How this “Changes Everything” in Primary Care - PowerPoint PPT Presentation
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Page 1: “Catching Things Early”  Supplementing Perfectly

“Catching Things Early” Supplementing Perfectly

John Whitcomb, MDGreen Bay Business Forum

March 2nd, 2011

Page 2: “Catching Things Early”  Supplementing Perfectly

Objective

• Explain the 50,000 foot picture of what modern medicine does

• What we really want from health care

• How this “Changes Everything” in Primary Care

• A couple of practical tips for yourself

Page 3: “Catching Things Early”  Supplementing Perfectly

What We Really Want

• To never get sick

• To live to be a healthy hundred

• To operate at optimal levels of functioning

• To reduce the cost of health care to ourselves personally and corporately

• Gradual decline into senility is not acceptable

Page 4: “Catching Things Early”  Supplementing Perfectly

It’s the Journey

• Going back to the source of infectious disease

• We started living longer: 46 in 1900 to 78-87 in 2000

• Now we have chronic disease

• We’re still treating with the same paradigm of infectious disease: fix you when you get sick

• And do it in 10 days (that’s the core fallacy that modern medicine is now trying to do)

Page 5: “Catching Things Early”  Supplementing Perfectly

MODERN MEDICINE’S ADDICTION

• We get paid for procedures: appendicitis, open heart surgery

• We get rewarded for doing big dramatic things that fix you all in a hurry

• We come to believe that we can fix many things with a quick bullet

• Open heart surgery does not reverse vascular disease

• There is no surgery/pill for Alzheimer’s

Page 6: “Catching Things Early”  Supplementing Perfectly

But, we now have Chronic Disease as our Challenge

• Same journey

• Let’s get back to the source

• What’s the real cause of chronic disease

• Fact: the treatment of chronic illness, once it’s entrenched is expensive, toxic and debilitating

• Awareness: MUCH BETTER fend off early

• What causes Alzheimer’s (78% less on India)

Page 7: “Catching Things Early”  Supplementing Perfectly

Western Diseases

• Cancer, Heart Disease, Neurological Degenerative Diseases (50% of us will have Alzheimer’s by 90)

• Arthritis, Autoimmune (40% of American women carry an autoantibody)

• Save my eyes, my knees and my brain!

• Many parts of the less developed world have very rare cancer

• Districts in China go decades between heart attacks

Page 8: “Catching Things Early”  Supplementing Perfectly

Hypothesis

• Chronic diseases are caused by “long latency” conditions

• Underlying physiology is out of balance for years or decades prior to disease

• Autoimmune illnesses: typically have 20 years of antibody, 5 years of vague symptoms, then horrible disease

• We need to get to core imbalances

Page 9: “Catching Things Early”  Supplementing Perfectly

40 70 100

120Birth

Growth Hormone

Inflammation

Long Latency Disease

Page 10: “Catching Things Early”  Supplementing Perfectly

Our Big Goal

• Address the mechanisms of chronic long latency disease

• Maintain optimal health (not treat disease)

• Rectangularize optimal health – keep your healthy and vibrant the longest possible

• That means addressing inflammation

• Delay long latency disease

• Must address the Antecedents to Chronic Illness

Page 11: “Catching Things Early”  Supplementing Perfectly

Jan 15th, 2008, Wisconsin Medical Journal

1. What’s the Problem in Wisconsin?

Page 12: “Catching Things Early”  Supplementing Perfectly

Using 30 ng as sufficient

59% of Caucasian Elderly women in WI are insufficient

Page 13: “Catching Things Early”  Supplementing Perfectly

2. What is Vitamin D? A Hormone

•Based on Cholesterol•Like a hormone, effects the expression of genes•Does not work like a vitamin as a cofactor in metabolism•Affects over 2000 genes in 1400 cell types•Comes from SUN: NOT from food•Evolution is frugal: uses cholesterol for other hormone functions: but Dwas likely the first

Page 14: “Catching Things Early”  Supplementing Perfectly
Page 15: “Catching Things Early”  Supplementing Perfectly
Page 16: “Catching Things Early”  Supplementing Perfectly

20:20:20:20 Rule• 20 year old with 50% of skin exposed

• 20 minutes of mid day sun: with skin type III (typical Caucasian-American)

• On JUNE 20th(height of summer)

• Not enough sun to tan

• Will make about 20,000 U over the next 24 hours: the 20:20:20 Rule on June 20

• Typical African-American: needs 4-5 times as much sun-light because of skin pigment

• Elderly: age 70 make only 25%

Page 17: “Catching Things Early”  Supplementing Perfectly

This means one glass of milk a day

Will raise your D level about 1 ng, or 2.5 nmoles.

This means one glass of milk a day

Will raise your D level about 1 ng, or 2.5 nmoles.

Page 18: “Catching Things Early”  Supplementing Perfectly
Page 19: “Catching Things Early”  Supplementing Perfectly

Note: After20 min, CA don’t make any more D

Page 20: “Catching Things Early”  Supplementing Perfectly

(Vieth, AJCN 1999:69, 842-56)

4. What’s Enough?

0

10

20

30

40

50

60

70

Puerto RicoNurses (26)

Puerto RicoFarmers (18)

St. LouisLifeguards (9)

Israeli Lifeguards(34)

Vitamin D Levels in Sun Rich Environments

Page 21: “Catching Things Early”  Supplementing Perfectly

Published Literature on Intentional UVB Treatment and D Levels

(Vieth AJCN 1999 : 69 p 842-56)

0

10

20

30

40

50

60

70

Germ

an M

en (2

4) T

wo wee

ks

Med

ical S

tude

nts (6

) One

sess

ion

Psoria

sis (8

) Thr

ee wee

ks

Lond

oner

s (7)

Thr

ee w

eeks

New Yorke

rs (7

) 10

sess

ions

Kidney

Sto

ne (1

1) 1

0 se

ssion

s

HBP (9) 3

times

a w

eek

Germ

an M

en (5

) 3 tim

es a w

eek

Before

After UVB

Page 22: “Catching Things Early”  Supplementing Perfectly

0

5

10

15

20

25

30

35

British Submariners (26) 2months

Immigrant Pakastanis (24)12 months

American Submariners (30)2.25 months

Before

After

When you are deprived of sunshine, your D level drops

(Vieth AJCN 1999: 69, 842-56)