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If you have chronic fatigue, aches and pains, fibromyalgia, depression or any other non-specific symptoms that your conventional medical doctor has been having a difficult time solving, you may have Adrenal Fatigue. Dr. Vivian DeNise, Integrative Physician at Patients Medical and Elisa Haggarty of Culinary Farmacy explain what Adrenal Fatigue is, why it happens, what foods can help you feel more balanced and how to treat it naturally, safely and effectively.
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How to Beat Adrenal FatigueNaturallyDr. Vivian DeNise and Chef Elisa Haggarty
Patients Medical
A holistic medical centerFull-service
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Discover health, rediscover vitalityFocus on the root cause Integrate modern medicine, holistic
practices, and natural supplements
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Our goal Promote healing and prevent disease
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Physicians collaborate to approach each patient holistically.
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Result: Gain health and nutritional wisdom
that can be applied for years to come.
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Founder, Dr. Warren Levinbegan practicing his ground-breaking
holistic protocols in 1974.
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Conditions Treated Chronic Fatigue Syndrome Multiple Sclerosis Osteoarthritis (OA) Rheumatoid Arthritis (RA) Diabetes Heart disease Crohn’s disease, IBS, IBD Alzheimer’s disease Lyme disease Thyroid disease Auto-immune diseases Many other secondary medical conditions
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Introducing our speakers:
Vivian DeNise, DOABAARM, FAARMIntegrative Internal MedicineHolistic Pediatrics
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Completed her medical degree at New York College of Osteopathic Medicine
Certified in Integrative Medicine with the American Academy of Anti-Aging Medicine (A4M)
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Specialties include Balancing Adrenal Function Detoxification Hormonal Imbalances Nutritional Deficiencies Thyroid Disorders Weight Loss Gastro-Intestinal Problems Women’s and Men’s Wellness Pediatrics And many more!
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Allergies Anxiety Arthritis Asthma Cancer Chronic fatigue Chronic pain Depression Fibromyalgia Headache & migraine Hypertension Immune dysfunction Infertility Irritable bowel syndrome Osteoporosis Stress disorders Weight gain Weight loss
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Introducing our speakers:
Elisa Haggarty of Culinary FarmacyCertified Holistic Health Coach &Natural
Foods Chef
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Received Professional Holistic Health Coaching training at The Institute for Integrative Nutrition
Training at The Natural Gourmet Institute
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Studied over 100 different dietary theories
Uses food, stress management and other techniques to help women live an abundantly rich life!
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How to Beat Adrenal Fatigue Naturally
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Are You Experiencing an Energy Crisis?
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You know you don’t feel good…
… but you may not know why.Or how to start feeling good again.
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The First Step
Our philosophy is to determine the root cause of the symptom, so that we
can help you get back on track.
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The First Step
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Restore Power to Your Body and Life!
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Are you suffering from symptoms of Adrenal Fatigue?
Do you even know what they are?
Drowsiness
Feeling the need to sleep.
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Fatigue
Lack of energy and motivation usually in response to: physical exertion emotional stress lack of sleep boredom “other”
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Fatigue
Fatigue can be a single symptom, a cluster of symptoms or a clinical
syndrome such as chronic fatigue syndrome or cancer.
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Fatigue
Symptoms of fatigue can be divided into 3 separate categories:PhysicalCognitiveEmotional
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Physical Symptoms of Fatigue
Reduced activityLow energyTirednessDecreased physical endurance Increased effort with physical tasks and
with overcoming activityGeneral weaknessHeaviness, slowness, or sluggishnessNon Restorative sleepSleeplessness
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Cognitive Symptoms
Decreased concentration
Decreased attentionDecreased mental
enduranceSlowed thinking
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Emotional Symptoms
Decreased motivation or initiative
Decreased interestFeeling overwhelmedBored or “low”Aversion to effort
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Symptoms
All these symptoms can overlap making it difficult to disentangle the
complex of “co-morbidities”.
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Causes of Fatigue
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Fatigue
OccupationalDiseasesEnvironmental
Vitamin and Mineral DeficienciesPsychological
Medications Physical
Causes of Fatigue
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Infectious
Rheumatologic
CancerHeart
Disease
Neurologic
Endocrine
Endocrine or Hormonal Causes of Fatigue
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Diabetes
Hypoglycemia
Hypothyroidism
Adrenal Fatigue
Fatigue
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A phenomenon due to oxidative stress and mitochondropathy
Oxidative stress occurs at the cellular level
Imbalance between free radicals and anti-oxidants
Diseases as a Cause of Fatigue
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Infectious Chronic Fatigue Syndrome Fibromyalgia Lyme Disease Hepatitis C HIV / AIDS
Chronic Fatigue Syndrome
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Fatigue must be present for ≥ 6 months A decrease of functional activity and somatic symptoms and
pain not attributable to a specific diagnosis or disease In addition at least 4 of the following must be present
Sore throat Impaired memory or cognition Un-refreshing sleep Post-exertional fatigue Tender glands Aching stiff muscles Joint pain Headaches
Other Causes of Chronic Fatigue Syndrome
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Central Nervous and Hormonal Imbalance Imbalance in neurotransmitters Cortisol Deficiency Disturbance of Circadian Rhythms
Infections Immune System Abnormalities
Allergies
Fibromyalgia
Is defined as chronic diffuse pain in
absence of inflammatory or
structural musculoskeletal abnormalities. In addition, fatigue, sleep and mood
disturbances are also present.
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Stress
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4 Major Categories1. Physical Stress2. Chemical Stress3. Thermal Stress4. Emotional Stress
Physical Stress
1. Overworking or shift work2. Lack of sleep / insomnia3. Athletic over-training
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Insomnia
40 million people in the US have some kind of problem with sleep
Accounts for more than 50% of doctor visits each year
Affects 25-40% of all children and adolescents
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Causes of Insomnia
Chronic stress Caffeine Carbohydrates
before bed Restless Leg
Syndrome (RLS) Sleep Apnea Alcohol or Drug
Abuse
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Insomnia
Not only causes fatigue but alsoDeficits in memoryDecreased concentrationDepressive moodIrritabilityDecreased libido or Erectile
Dysfunction (ED)
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Interesting note
In one study, Severe Fatigue was reported by 11% of Adolescents in the 11-14 year
old age17% of the 13-16 year olds
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Chemical Stresses
Environmental pollutants such asInsecticides and PesticidesHeavy Metal Poisonings such as
Mercury, Aluminum Food Additives and allergiesVitamin and Mineral DeficienciesMedically prescribed drugs
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Sources of Mercury
Eating fish or shellfishDental work such as Mercury
amalgamsBreathing contaminated vapors
or skin contact with: antiseptics, bactericides, batteries, cosmetics, fabric softeners, floor wax and polish, paints, tattoo inks, perfumes, etc. www.patientsmedical.com
Allergies to Food and Additives
Aspartame = AsparticAcid + phenylalanine + methanol
Accounts for > 75% of adverse reactions to food additives reported to FDA.
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Adverse Effects of Aspartame
Numbness
Muscle spasmsWeight gainRashesDepressionFatigue IrritabilityTachycardia InsomniaVisual
disturbancesHearing lossPalpitationsHeadaches/
migrainesDizzinessSeizuresNausea
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Vitamin and Mineral Deficiencies
Some common deficiencies includeIron deficiency
(anemia)B12 deficiency
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Vitamin and Mineral Deficiencies
B12 deficiency may cause Muscle weakness Fatigue Tingling of extremities Mental Fogginess Memory Problems Mood Swings Feeling of apathy Lack of motivation
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B5 (Pantothenic Acid) Deficiency
Lack of Vitamin B5 (Pantothenic Acid) can lead to adrenal exhaustion and
ultimately to destruction of the adrenal glands.
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B5 Deficiency Causes
CaffeineSynthetic Estrogen
supplementation*Sleeping pills
*Synthetic estrogen is NOT the same as Bio-Identical Hormone Replacement Therapy.
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Good Sources of B5
Brewer’s YeastCalf LiverChicken LiverPeanutsSplit PeasPecans
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Vitamin C
The adrenal glands are the second biggest store of Vitamin C in the body.
If there is an insufficient amount of Vitamin C, there will be insufficient amounts of adrenal hormones made, leading to immune deficiencies.
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Prescribed Medications
Statins such as Lipitor, Crestor deplete CoQ10
Oral contraceptivesAntidiabetics such as the
Sufonylureas, Biguanides, MetforminAnti Hypertensives: Hydralazine,
Thiazides, B blockers, Clonidine, Methyl dopa
Psychotropics: Phenothiazines, Tricyclic Antidepressants, Haloperidolwww.patientsmedical.com
Emotional and Mental Stress
Meloncholic depression is associated with hypercortisolism secondary to CRH
Atypical Depression is associated with pathologic reduction of mediators and a decrease in the hypothalamic CRH
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What is Adrenal Fatigue?
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What is Adrenal Fatigue?
What is Adrenal Fatigue?
YourResiliencyEnergyEnduranceYour Very Life
…depends on your adrenal health.
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Adrenal Medulla
SecretesEpinephrine (adrenaline)Norepinephrine
These are secreted in crisis situations.
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Adrenal Cortex
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Zona reticularis DHEA (S)
Zona fasiculataCortisolZona glomerulosaAldosterone
Cortisol
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Hypothalamus
AnteriorPituitary
Adrenal
Cortex
CRH
ACTH
Cortisol
-
Actions of Cortisol
Essential for maintaining blood sugar levels in the proper balance
Powerful anti-inflammatory Decreases the effect of white blood
cells Direct effect on the heart and blood
pressure Influences behavior, mood,
excitability Regulation of adrenal sex hormoneswww.patientsmedical.com
Summary of Symptoms of Adrenal Fatigue
Difficulty in awakening in the morning Lack of energy Increased energy to do everyday tasks Decreased sex drive Decreased ability to handle stress Increased time to recover from illness,
injury or trauma Light headed when standing up quickly Mild depression Less enjoyment or happiness with life
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Adrenal Fatigue SymptomsContinued…
Increased PMS Symptoms increase if meals are skipped
or inadequate Thoughts less focused, more fuzzy Memory less accurate Decreased tolerance Don’t really wake up until 10:00AM Afternoon low between 3:00 and 4:00PM Feels better after evening meal Decreased productivity
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How is the diagnosis made?
A careful history and physical from a physician
Blood Tests Salivary tests
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Treatment
Proper amount of sleepProper nutrition including a lot of
fresh vegetables, fruits, nuts and legumes
Meditation, Yoga, prayer etc. for stress relief
Mild to moderate exercise
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Supplements
Vitamin C
B complex Ashwaganda Carnitine Rhodiola Ginseng
Cordyceps CoQ10 Lipoic Acid N-acetylcysteine Omega 3
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Q and A with the Dr. DeNise
We’ll address questions about Dr. DeNise’s fees and
insurance policies towards the end,
but now is the time to ask your adrenal fatigue questions!
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Learn How to Revive Your Adrenal System with Delicious Food!
Prescription for Health
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“Let food be thy medicine and medicine be thy food” Hippocrates
Journey with Health
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• Health started for me with a bout of depression and anxiety.
• I learned to question the advice given to me and the prescriptions handed to me.
• No one in the medical community inquired about my diet- my lifestyle.
• I encourage you to find out what works for YOU and never doubt that food has an amazing capacity to heal us.
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Individual Heath Coaching Programs 4 Week Sugar Boot Camp Health Supportive Cooking Classes Workshops/Cooking Demos 10 day Whole Foods Winter Detox
*Ingredients to success: whole foods cooking, local, seasonal, fresh, plant based, cleansing and mind set shifts
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Food & Healing
Food has a profound capacity to both cause sickness or promote health.
Everyday, 3 times a day, and over 1,095 times a year we have the ability to change the expression of our genes.
The most essential component of health, is restoring energy…the naturally occurring energy that our adrenal glands provide.
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Which do you choose?
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Adrenal Villains
SUGAR Consuming foods you are allergic/sensitive
too (corn, yeast, wheat/gluten, dairy, eggs, soy, alcohol are the top offenders)
Stimulants (coffee, chocolate or cacao) Refined and processed foods = nutrient
zappers Stress Toxic environments
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“Cashew & Carob Miracle Bites”
Ingredients 2 heaping tablespoons of cashew butter
(can use almond butter) 1 tbs tahini 1 heaping tablespoon of carob powder 1 tablespoon of coconut oil 1 tbs coconut nectar or natural sweetener 3/4 cup coconut flakes dash of Himalayan sea salt 2 tablespoon of hemp seeds or flax seeds Cinnamon to taste 1/4 cup sesame seeds for coating
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All you need is a food processor, or
high speed blender
Blood Sugar Success formula
Regulating blood sugar with balanced meals it the key to adrenal health.
My formula for optimal blood sugar success (on the plate)
FAT, FIBER & PROTEIN = stable blood sugar and less adrenal stress
Fat: tahini, coconut oilFiber: hemp seeds, flax seeds, sesame seedsProtein: almond/cashew butter, hemp & flax seeds
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Fat is your friend
Don’t believe the hype that fat is bad or even that saturated fats will lead to coronary heart disease.
Fat does not make you fat (hint…sugar is the most common culprit in weight gain).
Fats, and especially saturated fats are essential for blood sugar balance and hormone regulation.
Fat breakdown & assimilation happens in the small intestine (gut) and so it takes the longest to digest.
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Coconut Oil
Is a Medium Chain Fatty Acid which help to inhibit the growth of yeast (candida) and they not stored as fat in the body.
MCFA’s create heat or thermogenesis in the body and boost metabolism.
MCFA’s help boost immunity. It has Lauric acid and is found in breast milk.
MCFA’s are needed for proper utilization of the essential fatty acids! They work in tandem!
The heart draws on the MCFA’s in times of stress.
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Carob?
A really great alternative to chocolate. Why avoid raw cacao you ask?
Cacao is a stimulant- containing theobromine which is a relative of caffeine.
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• When rejuvenating the adrenals, we want to remove stimulants
• Carob is stimulant free, high in calcium, magnesium, Vit. A and D.
Hemp and Flax Seeds
Both very high in Omega 3 fatty acids which are anti-inflammatory.
Both have dietary fiber (flax more so) and both have protein.
Using hemp and flax seeds helps make your meals/snacks more nutrient dense.
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SALT: it is your friend!
Your adrenal glands keep you hydrated. If you are constantly thirsty- that is a sign you are off balance and you have weak adrenals.
Salt (unrefined Himalayan or Celtic) helps to rehydrate your cells, electrifies your cells and contain countless trace minerals.
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What Now?
If you want to take control of your health, naturally- all you have to do is ask.
I am offering each of you a free one hour health breakthrough consultation!
Find out how to create your unique culinary farmacy !
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10 Day Whole Foods Winter Detox
It’s time to nourish your adrenal glands!
Value? Renewed sense of health Improved energy and mental clarity Boost immunity Become a culinary master of clean
eating Kick cravings Feel more rested, balanced, leaner
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10 Day Whole Foods Winter Detox
What you get! Accountability and expert guidance Access to a private Facebook group for
support 10 day Meal Plan (guess work taken care
of!) Resources Packet shopping list and
reminders 3 online tele-seminars (recorded mp3 files) Options for taking the detox at your pace Video food demonstrations Recommended supplement list Top 5 ways to detoxify beyond foodwww.patientsmedical.com
10 Day Whole Foods Winter Detox
Normal Registration rate $197
For YOU: $147 Tonight: $127
Nourish your adrenals without the stimulants, sugar, and decrease
inflammation by removing allergens like: wheat/gluten/soy/dairy!
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Thank you!
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Get on track with your health. Revive your adrenal health today!
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Dr. DeNise’s Fees and Insurance Policies
Questions?Ask me now!
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Take Advantage of Your Coupon!
Get started TODAY by scheduling your
appointment with Dr. DeNise.
Use your coupon today!
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Balance Your Hormones – Balance Your Life!
Dr. Harris explains how hormone imbalance can make your sick, tired and CRAZY! Learn how all-
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Wednesday, February20th at 6:30pm
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See one of our staff members for details and scheduling.
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Just for MEN: Boost Your Mojo Naturally
Dr. DeNise and Nutritionist/Personal Trainer, Judy Penta explain how to improve your focus,
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