New Standard of Care

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The American Medical Association recommneds people take a daily multi-vitamin. The multi-vitamin is outdated and 20th century technology. 21st century technology efficacious interventions point to food-first solutions.

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  • New Standard of Care

    1. 1. The New “Standard of Care” Nutrition Intervention, Ethics & Evidence Jeff Olson, R.L.T. (jeffjp@comcast.net)
    2. 2. The New Standard of Care <ul><li>Safety First </li></ul><ul><li>The Nutrient Dilemma </li></ul><ul><li>Nutrition Intervention “In Practice” </li></ul>
    3. 3. 1. SAFETY FIRST <ul><li>Toxicity: It’s not what you think </li></ul><ul><li>The degeneration of generations </li></ul><ul><li>Everyone agrees… </li></ul>
    4. 4. “ Toxic Food Environment ” <ul><li>Kelly Brownell, Ph.D. </li></ul><ul><ul><li>Author has coined this phrase… </li></ul></ul>
    5. 5. The Degeneration of Generations “ Children being born today have a shorter life expectancy than their parents” (Congressional testimony 2003)
    6. 6. The Whole World Agrees 100%... But few actually “DO…”
    7. 7. FRUITS & VEGETABLES <ul><li>EAT MORE </li></ul><ul><li>Everyday </li></ul><ul><li>Variety </li></ul><ul><li>Whole </li></ul><ul><li>Fresh </li></ul><ul><li>Raw </li></ul><ul><li>Vine-ripened </li></ul>Know Do vs. The Lifestyle Gap
    8. 8. 2. The Nutrient DILEMMA <ul><li>Limitations of dogma </li></ul><ul><li>Gap analysis </li></ul><ul><li>Pathogenesis of disease </li></ul>
    9. 9. Limitations of Dogma <ul><li>Beyond RDAs, RDIs & DRIs </li></ul><ul><ul><li>How the RDA cocktail has changed: a 30 year retrospective analysis </li></ul></ul><ul><li>The AMA recommends people should take a daily “ multi-vitamin ”… </li></ul><ul><li>Is this the best science has to offer? </li></ul><ul><li>The term “vitamin” is outdated nomenclature </li></ul><ul><li>People are more confused than ever </li></ul><ul><ul><li>Nutrient de jour syndrome </li></ul></ul><ul><li>“ Phytochemicals” are our future </li></ul>
    10. 10. Nutrient De Jour ! Isolated/fragmented nutrient approach to supplementation
    11. 11. 1968 2001 RDA/DRI Changes 1968 - 2001 Vit.A -40% Vit.C 50% Vit.D 50% Vit.E -25% Vit.K 50% Thiamin -20% Riboflavin -20% Niacin -20% Vit.B-6 -15% Folate -20% Vit.B-12 400% Biotin -90% Pantothenic -50% Choline na Calcium 30% Phosphorus 25% Iron nc Iodine nc Magnesium 05% Zinc -27% Selenium -21% Copper -55% Manganese 15% Chromium -71% Molybdenum-40% 1968 2001 The Formula Keeps Changing? The Federally Recommended Multi-Vitamin & Mineral “Cocktail”
    12. 12. The Limits Of Labels Which is more Nutritious? Apple Multi-Vitamin
    13. 13. Confused & Discomfortably Numb
    14. 15. www.5aday.gov
    15. 16. Macro Nutrients Micronutrients Carbohydrates Proteins Fats 12,455 Phytonutrients Diplock H., American Journal of Clinical Nutrition. 1991;53:189S-193S.
    16. 17. 75,000,000,000,000……..Trillions of Cells Ovaries, testes, etc. Reproductive Glands Endocrine Brain, spinal cord, nerves Nervous Kidneys, bladder, skin Excretory Mouth…..bowels Digestive blood cells, Lymph nodes Immune Air passages, lungs Respiratory Vessels, blood Circulatory Skin, hair, nails Integumentary Muscles Muscular Bones Skeletal
    17. 18. Pathogenesis of Disease <ul><li>Oxidative stress science is in its infancy </li></ul><ul><li>The exponential cause and effect of OS </li></ul>
    18. 19. <ul><li>Good Cells </li></ul><ul><ul><ul><li>Gone Bad… </li></ul></ul></ul>“ Oxidative Stress” is one of the MOST important factors in accelerating cell degeneration &quot;Oxidative Stress&quot; &quot;Nutritional Intensity&quot; at the cellular level &quot;Oxidation&quot; Regenerate me Save me Defend me Cleanse me Regulate me Rest me Work me Feed me Cells Other Pollution Drugs Stress Excess Sun Lack of Exercise Lack of Sleep Poor Diet Cells
    19. 20. An Exponential Combination of Chemicals
    20. 21. Phenols Polyphenolic Xeaxanthins Flavonoids Lutein Anthocyanins Keap1 and Nrf2. Telomeres Resveratrol Indols Sulforaphane XYZqrt Catechins LDL Carotenoids Cysteine
    21. 22. Diabetes Vitality Sleep Extra Energy Acid Reflux Cancer Auto Immune Inflammation Digestion Arthritis Fibromyalgia Macular Degeneration Heart Disease Immune System ADD/ADHD Stress TdF Recovery
    22. 23. Gap analysis <ul><li>Cellular systemics </li></ul><ul><li>Back to basics with patients </li></ul><ul><li>Elegance of simplicity </li></ul><ul><li>Occom’s Razor </li></ul><ul><li>Keeping your/their focus </li></ul><ul><li>The million dollar question! </li></ul>
    23. 24. www.5aday.gov How Many Have You Had Today?
    24. 25. 3. Intervention “IN PRACTICE” <ul><li>The most underutilized tool in medicine </li></ul><ul><li>Healing, health, wellness and vitality </li></ul><ul><li>The New Standard of Care </li></ul><ul><ul><li>Whole food concentrates vs. multi-vitamins </li></ul></ul>
    25. 26. The Most Underutilized Tool… <ul><ul><ul><ul><ul><li> Health /Wellness </li></ul></ul></ul></ul></ul><ul><li>Prevention </li></ul><ul><ul><ul><li>Healing </li></ul></ul></ul><ul><li> </li></ul><ul><li>Sick </li></ul>V I T A L I T Y
    26. 27. Nutritional Intensity at the Cellular Level
    27. 28. The New Standard of Care <ul><li>Beyond the multi-vitamin… </li></ul><ul><li>Ethics & Efficacy </li></ul><ul><ul><li>Health care professionals need to get educated on the evidence… </li></ul></ul><ul><ul><li>Once educated it becomes “unethical” not to share the evidence and efficacy </li></ul></ul>
    28. 29. Vitamins and Minerals vs. Whole Food Concentrates
    29. 30. Isolated Nutrients More… Whole Foods Whole Food Concentrates Healthy Oils Sustainable “ Daily” Un-sustainable “ Special therapeutic needs” Low High Efficacy The Supplement Pyramid
    30. 31. 3 distinguishing questions <ul><li>Is it Safe? </li></ul><ul><ul><li>Tested by 3 rd party for integrity of content </li></ul></ul><ul><li>Makes Common Sense? </li></ul><ul><ul><li>Keep it simple for daily intake </li></ul></ul><ul><li>Does It Work? </li></ul><ul><ul><li>3 rd party, peer-reviewed and published clinical research on the specific product </li></ul></ul>
    31. 32. <ul><li>National Institute of Health (NIH) </li></ul><ul><li>National Cancer Institute (NCI) </li></ul><ul><li>UCLA / Georgetown U. </li></ul><ul><li>U. of Arizona </li></ul><ul><li>U. of North Carolina </li></ul><ul><li>U. of Vienna </li></ul><ul><li>King’s College </li></ul><ul><li>U. of Milan </li></ul><ul><li>Wuerzburg </li></ul><ul><li>U. of Tokyo </li></ul><ul><li>Yale </li></ul><ul><li>Vanderbilt </li></ul><ul><li>MD Anderson </li></ul><ul><li>Wake Forest </li></ul><ul><li>Brigham Young </li></ul><ul><li>U. Of Maryland </li></ul><ul><li>U. of Sydney </li></ul><ul><li>U. of Mississippi </li></ul><ul><li>U. of Florida </li></ul><ul><li>CR Foundation </li></ul>Research Affiliations
    32. 33. <ul><li>Cancer </li></ul><ul><li>Cancer </li></ul><ul><li>Oxidative Stress </li></ul><ul><li>Bioavailability </li></ul><ul><li>Exercised induced Ox. Stress </li></ul><ul><li>Homocysteine </li></ul><ul><li>Immune System </li></ul><ul><li>Oxidative Stress </li></ul><ul><li>Periodontal </li></ul><ul><li>Women </li></ul><ul><li>Insulin Resistance </li></ul><ul><li>Heart Disease </li></ul><ul><li>Cancer </li></ul><ul><li>Cancer </li></ul><ul><li>Immune System </li></ul><ul><li>Vasoactivity </li></ul><ul><li>Homocysteine </li></ul><ul><li>Pre-Eclampsia </li></ul><ul><li>DNA </li></ul><ul><li>Children </li></ul>Specific Clinical Studies
    33. 34. <ul><li>Ongoing 2004: </li></ul><ul><ul><li>Wake Forest ( head/neck cancer ) funded by NIH & NCI </li></ul></ul><ul><ul><li>Vanderbilt (slow progression of coronary heart disease ) </li></ul></ul><ul><ul><li>UCLA/Georgetown ( oxidative stress ) </li></ul></ul><ul><ul><li>Yale Griffin ( insulin resistance ) </li></ul></ul><ul><ul><li>MD Anderson ( ovarian cancer ) </li></ul></ul><ul><ul><li>UNC Greensboro ( oxidative stress in athletes ) </li></ul></ul><ul><ul><li>U. Florida ( DNA study ) </li></ul></ul><ul><ul><li>Wuerzburg, Austria ( periodontal health ) </li></ul></ul><ul><ul><li>U. Mississippi Medical Center ( pregnancy ) </li></ul></ul><ul><ul><li>Tokyo Women's Univ. ( women's health ) </li></ul></ul><ul><ul><li>U. of Milan, Italy ( oxidative stress in smokers ) </li></ul></ul><ul><li>Completed and/or Published: </li></ul><ul><ul><li>American College of Cardiology ( endothelial function ) </li></ul></ul><ul><ul><li>Journal of Nutrition& Nutrition Research- ( homocysteine ) </li></ul></ul><ul><li>Foundational Research: </li></ul><ul><ul><li>Quantitative Analysis, Bioavailability, Immune and DNA studies </li></ul></ul><ul><ul><li>Children’s Research Study (field study: children & family nutrition) </li></ul></ul>Double-blind, Placebo-controlled Summary (Depth of Evidence)
    34. 35. <ul><li>American College of Cardiology </li></ul><ul><ul><li>Improved Vasoactivity/Endothelial Function </li></ul></ul><ul><ul><ul><li>Success spurred two new studies underway </li></ul></ul></ul><ul><ul><ul><ul><li>Insulin resistance at Yale </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Regression of CHD at Vanderbilt </li></ul></ul></ul></ul><ul><li>Homocysteine Reduction </li></ul>Two Specifics
    35. 36. The Ethics of Evidence <ul><li>The evidence is clear </li></ul><ul><li>The data is sound </li></ul><ul><li>The efficacy is real </li></ul><ul><li>Its not all appreciated yet… </li></ul><ul><li>Lack of awareness abounds </li></ul><ul><li>Once educated… it’s self evident </li></ul><ul><li>Whole food concentrates easily replace the multi-vitamin as the daily recommended ‘standard of care’ </li></ul>

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