How to Beat Adrenal Fatigue Naturally

Dr. Vivian DeNise and
Chef Elisa Haggarty

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Integrative Medicine


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Introducing our speakers:

Vivian DeNise, DO
ABAARM, FAARM
Integrative Internal Medicine
Holistic Pediatrics


 Completed her medical degree
at New York College of
Osteopathic Medicine
 Certified in Integrative Medicine
with the American Academy of
Anti-Aging Medicine (A4M)


 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!


 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


Introducing our speakers:

Elisa Haggarty of Culinary Farmacy
Certified Holistic Health Coach &Natural Foods Chef


 Received Professional
Holistic Health Coaching
training at The Institute for
Integrative Nutrition
 Training at The Natural
Gourmet Institute


 Studied over 100 different
dietary theories
 Uses food, stress
management and other
techniques to help women
live an abundantly rich life!


… but you may not know why.
Or how to start feeling good again.


Our philosophy is to determine the root cause
of the symptom, so that we can help you get
back on track.


Feeling the need to sleep.


Lack of energy and motivation usually
in response to:
 physical exertion
 emotional stress
 lack of sleep
 boredom
 “other”

Fatigue can be a single symptom, a
cluster of symptoms or a clinical
syndrome such as chronic fatigue
syndrome or cancer.


Symptoms of fatigue can be divided
into 3 separate categories:
 Physical
 Cognitive
 Emotional


 Reduced activity
 Low energy
 Tiredness
 Decreased physical endurance
 Increased effort with physical tasks and
with overcoming activity
 General weakness
 Heaviness, slowness, or sluggishness
 Non Restorative sleep
 Sleeplessness


 Decreased concentration
 Decreased attention
 Decreased mental
endurance
 Slowed thinking


 Decreased motivation or initiative
 Decreased interest
 Feeling overwhelmed
 Bored or “low”
 Aversion to effort


All these symptoms can overlap making it
difficult to disentangle the complex
of “co-morbidities”.


Environmental Diseases Occupational

Vitamin and
Psychological Fatigue Mineral Deficiencies

Medications Physical


Endocrine Infectious

Neurologic Rheumatologic

Heart Disease Cancer


 Diabetes
 Hypoglycemia
 Hypothyroidism
 Adrenal Fatigue


A phenomenon due to oxidative stress and
mitochondropathy
 Oxidative stress occurs at the cellular level
 Imbalance between free radicals and anti-
oxidants


 Infectious
 Chronic Fatigue Syndrome
 Fibromyalgia
 Lyme Disease
 Hepatitis C
 HIV / AIDS


 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


 Central Nervous and Hormonal Imbalance
 Imbalance in neurotransmitters
 Cortisol Deficiency
 Disturbance of Circadian Rhythms
 Infections
 Immune System Abnormalities
 Allergies


Is defined as chronic
diffuse pain in absence of
inflammatory or structural
musculoskeletal
abnormalities. In addition,
fatigue, sleep and mood
disturbances are also
present.


4 Major Categories
1. Physical Stress
2. Chemical Stress
3. Thermal Stress
4. Emotional Stress


1. Overworking or shift work
2. Lack of sleep / insomnia
3. Athletic over-training


 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


 Chronic stress
 Caffeine
 Carbohydrates before
bed
 Restless Leg Syndrome
(RLS)
 Sleep Apnea
 Alcohol or Drug Abuse


Not only causes fatigue but also
 Deficits in memory
 Decreased concentration
 Depressive mood
 Irritability
 Decreased libido or Erectile Dysfunction
(ED)


In one study, Severe Fatigue was reported by
 11% of Adolescents in the 11-14 year old age
 17% of the 13-16 year olds


 Environmental pollutants such as
 Insecticides and Pesticides
 Heavy Metal Poisonings such as
Mercury, Aluminum
 Food Additives and allergies
 Vitamin and Mineral Deficiencies
 Medically prescribed drugs


 Eating fish or shellfish
 Dental work such as Mercury amalgams
 Breathing contaminated vapors or skin
contact with: antiseptics, bactericides,
batteries, cosmetics, fabric softeners,
floor wax and polish, paints, tattoo inks,
perfumes, etc.


Aspartame = AsparticAcid + phenylalanine +
methanol

Accounts for > 75% of adverse reactions to food
additives reported to FDA.


 Numbness  Visual disturbances
 Muscle spasms  Hearing loss
 Weight gain  Palpitations
 Rashes  Headaches/migraines
 Depression  Dizziness
 Fatigue  Seizures
 Irritability  Nausea
 Tachycardia
 Insomnia

Some common
deficiencies include
 Iron deficiency (anemia)
 B12 deficiency


B12 deficiency may cause
 Muscle weakness
 Fatigue
 Tingling of extremities
 Mental Fogginess
 Memory Problems
 Mood Swings
 Feeling of apathy
 Lack of motivation

Lack of Vitamin B5 (Pantothenic Acid) can lead
to adrenal exhaustion and ultimately to
destruction of the adrenal glands.


 Caffeine
 Synthetic Estrogen
supplementation*
 Sleeping pills

*Synthetic estrogen is NOT the same as Bio-Identical
Hormone Replacement Therapy.

 Brewer’s Yeast
 Calf Liver
 Chicken Liver
 Peanuts
 Split Peas
 Pecans


 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.


 Statins such as Lipitor, Crestor deplete CoQ10
 Oral contraceptives
 Antidiabetics such as the Sufonylureas,
Biguanides, Metformin
 Anti Hypertensives: Hydralazine, Thiazides, B
blockers, Clonidine, Methyl dopa
 Psychotropics: Phenothiazines, Tricyclic
Antidepressants, Haloperidol


 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


Your
 Resiliency
 Energy
 Endurance
 Your Very Life

…depends on your adrenal health.

Secretes
 Epinephrine (adrenaline)
 Norepinephrine

These are secreted in crisis situations.


Zona
reticularis
DHEA (S)
Zona
fasiculata
Cortisol

Zona
glomerulosa
Aldosterone


Hypothalamus -
CRH

Anterior
Pituitary ACTH

Adrenal
Cortex 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 hormones


 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


 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

 A careful history and physical from a
physician
 Blood Tests
 Salivary tests


 Proper amount of sleep
 Proper nutrition including a lot of fresh
vegetables, fruits, nuts and legumes
 Meditation, Yoga, prayer etc. for stress relief
 Mild to moderate exercise


 Vitamin C  Cordyceps
 B complex  CoQ10
 Ashwaganda  Lipoic Acid
 Carnitine  N-acetylcysteine
 Rhodiola  Omega 3
 Ginseng


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!


“Let food be thy medicine and medicine be thy food”
Hippocrates


• 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 www.culinaryfarmacy.com
that food has an amazing
capacity to heal us.

 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

 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.


 SUGAR
 Consuming foods you are allergic/sensitive too
(corn, yeast, wheat/gluten, dairy, eggs, soy, alco
hol are the top offenders)
 Stimulants (coffee, chocolate or cacao)
 Refined and processed foods = nutrient zappers
 Stress
 Toxic environments


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

All you need is a food
processor, or high
speed blender 


 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 oil
Fiber: hemp seeds, flax seeds, sesame seeds
Protein: almond/cashew butter, hemp & flax
seeds www.patientsmedical.com

 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.

 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.

 A really great alternative
to chocolate. Why avoid
raw cacao you ask?
 Cacao is a stimulant-
containing theobromine
which is a relative of
caffeine.

• When rejuvenating the adrenals, we want to remove stimulants

• Carob is stimulant free, high in calcium, magnesium, Vit. A and D.


 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.


 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.


 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 !


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 


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 food


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!

Questions?
Ask me now!


Get started TODAY by
scheduling your
appointment with
Dr. DeNise.

Use your coupon today!


Balance Your Hormones – Balance Your Life!
Dr. Harris explains how hormone imbalance can make your
sick, tired and CRAZY! Learn how all-natural Bio-Identical
Hormones work and why she recommends them.
Wednesday, February20th at 6:30pm


Come See Our Holistic Ophthalmologist
Dr. Ayman Matta will be seeing patients on
Friday, February 22nd in the afternoon.
See one of our staff members for details and scheduling.


Just for MEN: Boost Your Mojo Naturally
Dr. DeNise and Nutritionist/Personal Trainer, Judy Penta
explain how to improve your focus, physique, libido and
energy without dangerous OTC or prescription drugs.
Tuesday, March 19th at 6:30pm


Are You Suffering from Hair Loss?
Get a free hair/scalp evaluation and
stem cell therapy consultation with
Dr. Paul A. Dreschnack
By Appointment Only


Dr. Rashmi Dr. Kamau Kokayi, Dr. Marcia A. Harris
Dr. Stuart Weg, Dr. Vivan DeNise,
Gulati, Medical Holistic and Chinese Holistic GYN and
Alternative Pain Integrative Internal
Director Medicine Internal Medicine
Management Medicine and Peds

Dr. Eileen DiFrancesco Dr. Paul A. Dreschnack Dr. Victor I. Rosenberg
Dr. Gino Bottino Dr. L. Deanna Howard
Psychopharmacology Plastic Surgery Plastic Surgery
Holistic Oncology Holistic GYN

To get more information or to schedule an
appointment,
call 212-679-9667 or
email media@patientsmedical.com


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