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Case Studies in High Oxalate

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Copyright© 2019. Health Training Associates, LLC. All rights reserved.

(Advanced OAT Mastery Course Bonus Lecture)

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DisclaimerThe material contained within this document/presentation and subsequent support

documents for the Advanced OAT Mastery Course (AOAT) is not intended to replace the services and/or medical advice of a licensed health care practitioner, nor is it meant to encourage diagnosis and treatment of disease. It is for health education purposes only based on the clinical experiences of its authors. Health Training Associates, LLC., Kurt N.

Woeller, D.O., Tracy Tranchitella, N.D. or any of its associates and members do not accept legal responsibility for any problems arising from your personal experimentation with the health education information described herein. Any application of suggestions

set forth in the following portions of this document/presentation and other support documents of the AOAT (or other courses from Integrative Medicine Academy) is at the

reader/listener’s discretion and sole risk. As a health practitioner you are solely responsible for implementing treatment strategies for your patients or clients.

Implementation or experimentation with any supplements, herbs, dietary changes, medications, and/or lifestyle changes, etc., discussed in this course, including support

documents and member forum, is done so at your sole risk. As an individual you accept full responsibility for using/implementing any health education information discussed in this course and understand that experimentation with supplements, medications,

herbs, dietary changes, etc. needs to be discussed with your (or your child’s) personal physician first.

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Some Oxalate Levels Can Be Extremely High

Likely soy consumption?

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Oxalate

2016

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Glycolic4

Glycolic

Oxalic

390

190

Arabinose 95

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Very Low Vitamin B6

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0.00

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High Oxalate + Low Glycolic

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359

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High OxalateA Case of Chronic Pain

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• 43-year old female

• Chief complaints: pressure headaches, fatigue, brain fog, body aches, and tendon pain. Cyclical urinary pain (sharp). Digestive discomfort (bloating, painful bowel movements).

• PmHx: Blastocystis and Cryptosporidium, Raynaud’s, Irritable Bowel Syndrome (IBS).

• Meds: Ibuprofen, Atarax (for suspected interstitial cystitis).

• Food reactions – notices severe muscle pain when eats nuts and vegetables.

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Mildly High Arabinose, But Normal Clostridia Markers

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399

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1. Low oxalate diet – resource material

2. Prioritized to avoid – spinach (and other high oxalate veggies), soy products, nuts and berries.

3. Cal/Mag Citrate – 2 capsules with each meal

4. VSL#3 (now Visbiome) – 2 capsules daily

5. Vitamin B6 – one tablet daily, e.g. 50mg

6. Epsom Salt Baths – 4+ times weeks (2 cups of Epsom Salt in bath water, if tolerated).

Low Oxalate Program

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High Oxalate

Low oxalate diet over a 3-months completely resolves bladder pain, and improves tendon and muscle pain by 80%. Bowels are more

regular and non-painful, and Raynaud’s improved as well. Still dealing with pressure headaches, and some fatigue, but better overall.

She is feeling encourage by results of low oxalate diet, but unwilling to retest OAT to evaluate new level of oxalate.

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399

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Normalization of High Oxalate and Chronic Candida

Consistent and ongoing botanical antimicrobials, anti-candida and low

oxalate diets

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Yeast and Fungus

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• Dietary control through eliminating reactive and toxic foods

• Improving digestive system health and microbiome diversity

• Eradicating opportunistic infections such as parasites, bacteria, including clostridia bacteria.

• Identifying and elimination of gut colonization of mold

• Eliminating or reducing environmental toxin exposures such as chemicals and heavy metals.

• Consistent and ongoing antifungal intervention through medication and/or botanical remedies.

Keys To Chronic Candida Intervention

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January 9, 2015

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110

291

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March 30, 2015

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95

313

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June 23, 2015

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79

252

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December 21, 2015

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• Digestive bloating and gas

• High food intolerance

• Problems with sinus congestion and infections

• Loose stools mixed with periodic constipation

• Difficulty sleeping, poor memory, anxiety

• Fatigue, even with moderate activity

• Urinary discomfort described as burning after eating salads and certain nuts.

• Constant soreness in muscles and joints

Case Example 1

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422

65

Arabinose

Example 1

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217

258

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Example 1

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310

848

72

Example 1

407

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6.3

Example 1

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1. Eradicate clostridia – high priority

2. Lower oxalate - high priority

3. Treat candida – priority

4. Mitochondrial support – priority

5. Glutathione support – priority

6. GPL-TOX and Glyphosate tests

7. Myco-TOX Profile

Intervention Strategies

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• Digestive gas after high carbohydrate meal or snack

• Mild/moderate fatigue, but only after intense activity: • Able to exercise, e.g. cardio, weights, 3 to 4 times weekly

• Moodiness, easy to temper

• No depression but does feel emotionally overwhelmed much of the time. High stress job.

• No muscle or joint pain

• No urinary complaints

Case Example 2

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248

Example 2

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Example 2

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Example 2

213

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9.4

14

Example 2

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Example 2

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Example 2

1.6

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Example 2

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1. Treat candida – high priority

2. Treat quinolinic acid – high priority

3. L-carnitine supplementation – priority

4. Mitochondrial support

5. Vitamin B6 & Vitamin C supplementation – priority

6. Glutathione support – priority

7. Lower oxalate

8. Consider GPL-TOX panel

Intervention Strategies

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Thank You

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Kurt N. Woeller, D.O.