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DrRic -Detox Deconstructed (slide share edition)


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DrRic presenting Detox lecture at Bodhi Prem Yoga May 12 2012

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DrRic -Detox Deconstructed (slide share edition)

  1. 1. Detox Deconstructed- The Saguil Approach Enrique Saguil, M.D.We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  2. 2. We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  3. 3. The First Health ApproachWe didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  4. 4. Your Community of Care Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Emery Paredes, PT Yu Zhu, MD China You
  5. 5. What stops us from regular E S P -“Distractions”
  6. 6. Senate Select Committee on Nutrition and Human Needs• “….During this century, the composition of an average diet has changed radically. Complex carb, fruits, veg and grain which were the mainstay now play a minority role. At the same time, fat and sugar composition have risen to the point where these dietary elements alone now comprise 60% of the total caloric intake…..”
  7. 7. Bob Dole and George McGovern..that was from 1977!!The McGovern Committee
  8. 8. Detoxification• Found in many cultures, originally associated with purging impurity from the body• With religion (Lent, Ramadan, Yom Kippur) it is associated with enlightenment.• Modern proponents suggest a reset of the body function in addition to creating a feeling of energy.• Shatkarma….the ancestor of “detox in a box”
  9. 9. Shatkarma A process of cleansing and 1. Neti purifying the nasal passages. 2. Dhauti A series of cleansing techniques divided into three (1 internal (2 head (3 thoracic 3. Nauli Massaging and strengthening the abdominal organs Washing and toning 4. Basti the large intenstine 5. Kapalbhati Breathing technique for purifying the frontal brain 6. Trataka Intense gazing at one point or object to develop power of concentration
  10. 10. Neti• Neti pot filled with room temp water and salt (one tsp per 0.5 L water)• Feet apart, lean forward, insert gently, elbow up and pour until ½ container is empty gently blow mucus.• Repeat to other side• Dry nostrils alternate nostril 10 breaths standing, leaning right leaning left, leaning
  11. 11. Varisara Dhauti• Light semi liquid meal night before• Khichari (white rice/mung dal, clarified butter with a little tumeric (no salt)• Eat at the end of practice, after 45min of rest, again later in the day.• 2 glasses warm salty water aqap then 8 asana• Repeat 3x and attempt BM• Water again aqap followed by 8 asana
  12. 12. The five asana activate peristalsis and enhance the cleansing process-open the pyloric sphincter-open the ileocecal sphincter-open the anus
  13. 13. Nauli• Madhyama Nauli• Dakshina Nauli (right isolation)• Vama Nauli (left isolation)
  14. 14. Basti• Jala Basti-Yogic enema• Sthal Basti-dry yogic enema• Moola Basti-anal cleansing
  15. 15. Kapalbhati• Vatkrama kapalbhati (air cleansing)• Vyutkrama kapalbhati (sinus cleansing)• Sheetkrama kapalbhati (mucous cleansing)
  16. 16. Trataka
  17. 17. Ayruvedic Approach End Result-• Lightness of the body, clarity of the mind and increased energy• Regular bowel movements with no gas or bloating• A clean tongue and fresh breath
  18. 18. Shatkarma Action1. Neti 1. Clean out2. Dhauti 2. Clean out3. Nauli 3. Move4. Basti 4. Clean out5. Kapalbhati 5. Breath the Mind6. Trataka 6. Mind
  19. 19. Modern Day Detoxing
  20. 20. What ever works!
  21. 21. A word on Science of our GUT
  22. 22. Miles of capillaries and microvilli…
  23. 23. …all work to constantlyabsorb, filter and move.
  24. 24. Resting the GUTWhen it works good, we feel good
  25. 25. When GUT is abused, it un-filters hell
  26. 26. When GUT is on holiday, a lot of energy frees up Mario says:This is why after the first week,detoxers feel so energetic! RECHARGE!
  27. 27. How to choose which diet?
  28. 28. The Saguil Approach to Nutrition Change• Has to be safe• Take some time off (or warn others!)• Precede the event with grounding (or warn others!)• Rescue medicines or herbs (for side effects)• Celebrate with a hallmark change in movement and spirit
  29. 29. Bottom line is the RESET Safe Cheap Reliable?
  30. 30. Knowing the facts• Glycemic index• Food side effects (later…)• Calories• Portion size
  31. 31. Food for Thought (bad thoughts)
  32. 32. GI (glycemic index) of the GI Fructose heavy high GI
  33. 33. Insulin Dumping/Cortisol dumping
  34. 34. Jumpstart in a Nutshell..Daily diet for 7-10 days1200-1400 calories per day:• Whole Grains• Vegetables• Protein• Dairy Alternatives• Fruit• Fat
  35. 35. Whole Grains =2 cups OR1 cup cooked grain 2 slices of bread 1 ½ cups dry cereal
  36. 36. Vegetables = 2 ½ cups OR4oz vegetable juice 1 cup raw vegetables 3 cups raw lettuce
  37. 37. Protein = 5 ½ servings½ cup cooked legumes ½ cup tofu or tempeh or 4 oz fish 4 egg whites or 2 whole eggs
  38. 38. Dairy alternatives = 1 cup 1 cup almond soy rice coconut
  39. 39. Fruit = 1 serving1 piece of fruit ¼ cup of dried fruit ½ cup of fresh or frozen
  40. 40. Fat = 2 teaspoons or1 tsp oil 1 ½ tsp tree nut butter 1 tablespoon chopped nuts or ground flaxseed
  41. 41. WHOA!!!!!!
  42. 42. DrRic Disclaimer• I am not a Registered Dietician• I am not a “Health Coach”• I am not a Naturopathic Doc Sustainability Team• I am not a Behavioral Specialist• I am a Yoga Teacher• I am a Compassionate Physician• I am an Integrative Medicine Physician
  43. 43. Gut-Brain ConnectionWhen the GUT is unhappy, we are unhappy
  44. 44. Bottom line with NutritionStep away from the animal!Hunter Gatherer Mentality
  45. 45. We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  46. 46. Emotion controls GUT
  47. 47. Sleep Cycles • Insure REM • Set up a conducive environment • Remove distractions • Rescues for 21days • Don’t nap • Switch macronutrient timesI don’t need much sleep- doc
  48. 48. The Saguil Approach to Restful Sleep• Valerian/Hops Melatonin• PJ/s, pillows and blanky, Temp-67, darkness• LCD 3m away, ear plugs, light blocker, no tech• Lavendar/sandalwood, SL melatonin, 4/7/8• Rhodiola, light box, Metallica• Protein day, carbs night, Behavioral Therapy
  49. 49. Brain/GUT Relationship? Always have to include the mind with the diet change When the brain is unhappy, the GUT is unhappy
  50. 50. Control the Brain before the GUT• The Limbic System controls gut and emotionality• Neuroplasticity concept• Prefrontal cortex seat of judgement and planning- sight of highest order cognitive activity• Increasing connection (white matter) L prefrontal to amygdala yields more resiliency to adversity
  51. 51. The bottom line with Grounding• Average American is very good with the stress response• Average American is lacking the relaxation response Both take practice
  52. 52. Get Ready to Rumble!!!
  53. 53. The Relaxation Response 30• 5-10 min. at the beginning and end of your day• Cultivate RR with help Or Try
  54. 54. Look familiar?
  55. 55. Modern Day Ashram
  56. 56. Caveat with diet and exercise• Watch the increase in exercise/decrease in cal• Performance will suffer so can be dangerous• Consider low and slow during the fast ...what in morning was truth, in evening will become a lie. -Carl Jung
  57. 57. Bottom line with Movement• Change the concept of movement• Imbibe “brain stillness” into the endeavor• Warm up can be the “pause”.• Vigorous exercise is good… ….balanced exercise is better!
  58. 58. Speaking of supplements…• Herbs for Brain –(relaxing during starvation)• Herbs for Sleep• Herbs for Liver• Herbs for Colon• Aromatherapy -Then return back to the usual O3, Vit D3, MVI and DrRic’s personal picks
  59. 59. DrRic fav’s for colon• Slippery Elm –lube and antiinflam• Marshmallow Root –” “• Ginger - prokinetic• DGL –protects the stomach• Magnesium – constipation/spasm• Probiotic – diarrhea/immunity• Digestive enzymes - +/-• Mucosagen by Orthomolecular Read your box labels
  60. 60. DrRic fav’s for liver• Milkthistle –(Natures Way purple top) “Thisilyn” 200m/d• SAMe• Vitamin AA –(no alcohol) Read your box labels
  61. 61. DrRic fav’s for brain• SAMe• St Johns Wort• 5HTP• Valerian with Lemon Balm• Magnesium• O3• Kava kava / Ashwaganda Read your box labels
  62. 62. Aromatherapy• DiGize• Ocotea• Sandalwood• Lavendar• Sage To induce release of oxytocin and serotonin
  63. 63. The Reveal
  64. 64. The Saguil Approach to Sustainable Change Embark (set the date) Enlighten (read) Enlist (get help) Empower (ground) Encourage (share)
  65. 65. Knee Pain in the Outdoor Athlete REI Schaumburg 5/23 Wed 7-8pm 1209 E Golf Rd Schaumburg, IL Phone: (847 )619-6729