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	<title>AdvancedHealing.Com Journal &#187; Gastritis</title>
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	<link>http://www.advancedhealing.com/blog</link>
	<description>An Orange, CA. Chiropractor &#38; 21st Century Medical Detective</description>
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		<title>Antiviral and Antibacterial Actions of Monolaurin and Lauric Acid</title>
		<link>http://www.advancedhealing.com/blog/2010/08/16/antiviral-antibacterial-actions-of-monolaurin-and-lauric-acid/</link>
		<comments>http://www.advancedhealing.com/blog/2010/08/16/antiviral-antibacterial-actions-of-monolaurin-and-lauric-acid/#comments</comments>
		<pubDate>Tue, 17 Aug 2010 04:29:41 +0000</pubDate>
		<dc:creator>Dr. Marcus Ettinger</dc:creator>
				<category><![CDATA[Foods that Heal]]></category>
		<category><![CDATA[Gastritis]]></category>
		<category><![CDATA[H. pylori]]></category>
		<category><![CDATA[Infection]]></category>
		<category><![CDATA[Shingles]]></category>

		<guid isPermaLink="false">http://www.advancedhealing.com/blog/?p=907</guid>
		<description><![CDATA[If after reading this post you have questions regarding alternative medicine, integrative medicine, chiropractic, weight-loss, diabetes or pre-diabetes prevention, nutritional supplementation or how to become a new patient, please feel free to contact our office. Advanced Healing Center of Orange County, the practice of Dr. Marcus Ettinger BSc, DC. Phone: 714-639-4360, E-mail: info@advancedhealing.com, Mail: 630 [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">If after reading this post you have questions regarding <a title="Dr. Marcus Ettinger - Orange County, CA Alternative Medicine and Integrative Medicine Practitioner" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=12&amp;Itemid=16" target="_blank">alternative medicine, integrative medicine</a>, <a title="Dr. Marcus Ettinger - Orange County, CA Chiropractor" href="http://www.orange-chiropractor.com/2010/12/chiropractic-and-the-risk-of-stroke/" target="_blank">chiropractic</a>, <a title="Weight-Loss and The Ultra-Lite Program" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=13&amp;Itemid=12" target="_blank">weight-loss</a>, <a title="Diabetes and Pre-diabetes Prevention" href="http://www.advancedhealing.com/images/pdf/orange_county_weight_loss.pdf" target="_blank">diabetes  or pre-diabetes prevention</a>, <a title="Chief Science Officer with California Academy of Health" href="http://www.caoh.org" target="_blank">nutritional supplementation</a> or <a title="How to become a patient of Dr. Marcus Ettinger" href="http://www.advancedhealing.com/images/pdf/distance_patient_program.pdf" target="_blank">how to become a new patient</a>, please feel free to contact our office.  Advanced Healing Center of Orange County, the practice of Dr. Marcus Ettinger BSc, DC. Phone: 714-639-4360, E-mail: <a title="eMail to Dr. Marcus Ettinger" href="mailto:info@advancedhealing.com?subject=Information Request">info@advancedhealing.com</a>,  Mail: <a title="630 S. Glassell St. #103. Orange, CA 92866. The practice of Dr. Marcus Ettinger DC" href="http://maps.google.com/maps?q=630+S.+glassell+st+%23103+orange+ca&amp;oe=utf-8&amp;client=firefox-a&amp;ie=UTF8&amp;hq=&amp;hnear=630+S+Glassell+St,+Orange,+California+92866&amp;gl=us&amp;t=h&amp;z=16" target="_blank">630 South Glassell Street #103. Orange, CA 92866</a>.</p>
<div id="attachment_910" class="wp-caption aligncenter" style="width: 497px"><a href="http://www.advancedhealing.com"><img class="size-full wp-image-910" title="monolaurin_www.advancedhealing.com" src="http://www.advancedhealing.com/blog/wp-content/uploads/2010/08/monolaurin_www.advancedhealing.com_.png" alt="" width="487" height="102" /></a><p class="wp-caption-text">Monolaurin - Monolauroylglycerin - Glycerol monolaurate</p></div>
<p style="text-align: justify;">Lauric acid is a 12-carbon medium chain fatty acid (MCFA) found naturally in human breast milk (6.2% of total fat) and coconut oil (47.5% by weight). Lauric acid was originally discovered when microbiologists studied human breast milk to determine the protective (anti-viral and anti-bacterial) substances which protected infants from microbial infections. Other fatty acids were also found to have antimicrobial actions but lauric acid was found to be the most active.</p>
<p style="text-align: justify;">The esterification of lauric acid, that naturally occurs in our body, yields an amazing compound known as monolaurin (glycerol monolaurate). Monolaurin is a non-ionic surfactant¹, which possesses an even greater anti-viral and anti-bacterial activity than its precursor, lauric acid. Monolaurin, when given orally, at therapeutic doses between 2,500 &#8211; 4,500 mg/day is generally well tolerated, with loose bowels as the only negative concern. Monolaurin has been studied at medical research centers, including the Center for Disease Control (CDC), because of its high antimicrobial (anti-viral, anti-bacterial, anti-fungal, anti-yeast and anti-protozoal) activity. These studies have provided information about the anti-viral and anti-bacterial mechanisms of monolaurin. Monolaurin was found to be effective against certain Lipid Coated Bacteria (LCBs) and Lipid Coated Viruses (LCVs) &#8211; enveloped DNA and RNA viruses.</p>
<p style="text-align: justify;"><strong>¹Surfactant</strong><em>:  Surfactants are compounds that lower the surface tension of a liquid,  allowing easier spreading, and lowering of the interfacial tension  between two liquids, or between a liquid and a solid. Surfactants may  act as: detergents, wetting agents, emulsifiers, foaming agents, and  dispersants.</em></p>
<div id="attachment_908" class="wp-caption aligncenter" style="width: 498px"><a href="www.advancedhealing.com"><img class="size-full wp-image-908" title="lipid_coated_virus" src="http://www.advancedhealing.com/blog/wp-content/uploads/2010/08/lipid_coated_virus.jpeg" alt="" width="488" height="271" /></a><p class="wp-caption-text">Lipid Coated Virus</p></div>
<p style="text-align: justify;">HIV-1, Influenza virus, paramyxoviruses, rubeola virus, bronchitis virus, and the herpes family of viruses (Epstein-Barr, cytomegalo, zoster, vericella-zoster and herpes type I and II). Sadly, monolaurin had no effect on diseases caused by non-enveloped viruses such as polio virus, coxsackie virus, encephalomyocarditis virus, rhinovirus, and rotaviruses.</p>
<p style="text-align: justify;">&nbsp;</p>
<div id="attachment_909" class="wp-caption aligncenter" style="width: 498px"><a href="http://www.advancedhealing.com"><img class="size-full wp-image-909" title="lipid_coated_bacteria" src="http://www.advancedhealing.com/blog/wp-content/uploads/2010/08/lipid_coated_bacteria.jpeg" alt="" width="488" height="178" /></a><p class="wp-caption-text">Lipid Coated Bacteria</p></div>
<p><em><a title="H. pylori" href="http://www.advancedhealing.com/blog/2009/09/13/heartburn-gastritis-gerd-achlorhydria-or-h-pylori/" target="_blank">Helicobacter pylori (H. pylori)</a>,  Staphylococcus aureus and Streptococcus agalactiae.</em></p>
<p style="text-align: justify;">The anti-viral and anti-bacterial action attributed to monolaurin is that of solubilizing the lipids and phospholipids in the protective envelope of these particular infective agents causing the disintegration of the lipid envelope. Recent publications have shown that monolaurin and lauric acid inhibit the replication of viruses by interrupting the communication and binding of virus to host cells and thus preventing the uncoating of viruses necessary for replication and infection. Other studies have shown that monolaurin is able to remove all measurable infectivity by directly disintegrating the protective bacterial and viral lipid envelop. Binding of monolaurin to the viral envelop also makes the virus more susceptible to degradation by host defenses, heat, or ultraviolet light.</p>
<p style="text-align: justify;"><a title="Microorganisms Inactivated by Monolaurin" href="http://www.advancedhealing.com/uploads/Microorganisms_Inactivated_by_Monolaurin_under_Laboratory_Conditions.pdf" target="_blank"><strong>Microorganisms Inactivated by Monolaurin</strong></a></p>
<p style="text-align: justify;"><strong><span style="color: #ff0000;">Ecological Formulas Monolaurin</span> (600 mg&#8217;s &#8211; 90 caps)</strong> <strong>$34.00 or <span style="color: #ff0000;">Lauricidin® The Original Monolaurin</span> 227gr $40.00 <span style="color: #ff0000;">Call to Purchase 714-639-4360</span></strong></p>
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		<item>
		<title>Quorum Sensing and Biofilm</title>
		<link>http://www.advancedhealing.com/blog/2009/12/13/quorum-sensing-and-biofilm/</link>
		<comments>http://www.advancedhealing.com/blog/2009/12/13/quorum-sensing-and-biofilm/#comments</comments>
		<pubDate>Mon, 14 Dec 2009 02:49:52 +0000</pubDate>
		<dc:creator>Dr. Marcus Ettinger</dc:creator>
				<category><![CDATA[Biofilm]]></category>
		<category><![CDATA[Gastritis]]></category>
		<category><![CDATA[H. pylori]]></category>
		<category><![CDATA[Infection]]></category>
		<category><![CDATA[Lyme Disease]]></category>
		<category><![CDATA[Prostate]]></category>
		<category><![CDATA[Quorum Sensing]]></category>
		<category><![CDATA[Ulcerative Colitis]]></category>

		<guid isPermaLink="false">http://www.advancedhealing.com/blog/?p=340</guid>
		<description><![CDATA[What is Quorum Sensing and how do bacteria talk to each other? The discovery that bacteria are able to communicate with each other changed our general perception of many single, simple organisms inhabiting our world. Instead of language, bacteria use signaling molecules which are released into the environment. As well as releasing the signaling molecules, [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;"><strong>What is Quorum Sensing and how do bacteria talk to each other?</strong></p>
<p style="text-align: justify;">The discovery that bacteria are able to communicate with each other changed our general perception of many single, simple organisms inhabiting our world. Instead of language, bacteria use signaling molecules which are released into the environment. As well as releasing the signaling molecules, bacteria are also able to measure the number (concentration) of the molecules within a population. Nowadays we use the term &#8216;Quorum Sensing&#8217; (QS) to describe the phenomenon whereby the accumulation of signaling molecules enable a single cell to sense the number of bacteria (cell density). In the natural environment, there are many different bacteria living together which use various classes of signaling molecules. As they employ different languages they cannot necessarily talk to all other bacteria. Today, several quorum sensing systems are intensively studied in various organisms such as marine bacteria and several pathogenic bacteria.</p>
<div id="attachment_343" class="wp-caption aligncenter" style="width: 493px"><img class="size-full wp-image-343 " title="Quorum_Sensing_Biofilm_Formation" src="http://www.advancedhealing.com/blog/wp-content/uploads/2009/12/Quorum_Sensing_Biofilm_Formation.gif" alt="Quorum Sensing &amp; Biofilm Formation" width="483" height="258" /><p class="wp-caption-text">Quorum Sensing &amp; Biofilm Formation</p></div>
<p><strong>Why do bacteria talk to each other?</strong></p>
<p style="text-align: justify;">(QS) enables bacteria to co-ordinate their behavior. As environmental conditions often change rapidly, bacteria need to respond quickly in order to survive. These responses include adaptation to availability of nutrients, defense against other microorganisms (<a title="Biofilm" href="http://www.advancedhealing.com/blog/category/biofilm/" target="_blank">biofilm</a> formation) which may compete for the same nutrients and the avoidance of toxic compounds (<a title="Biofilm" href="http://www.advancedhealing.com/blog/category/biofilm/" target="_blank">biofilm</a> formation) potentially dangerous for the bacteria. It is very important for pathogenic bacteria during infection of a host (e.g. humans, other animals or plants) to co-ordinate their virulence in order to escape the immune response of the host in order to be able to establish a successful infection. <a title="University of Nottingham" href="http://www.nottingham.ac.uk/quorum/index.htm" target="_blank">The University of Nottingham Quorum Sensing Research Group</a></p>
<p style="text-align: justify;">From <a title="Biofilm Protocol" href="http://www.advancedhealing.com/blog/2009/09/25/dr-ettingers-biofilm-protocol-for-lyme-and-gut-pathogens/" target="_blank">Dr. Ettinger’s Biofilm Protocol for Lyme and Gut Pathogens</a>: Pathogenic bacteria known to reside in biofilms include: <em>Borrelia burgdorferi, Escherichia coli, Candida albicans, Clostridium difficile, Clostridium perfringens, <a title="H. Pylori" href="http://www.advancedhealing.com/blog/category/hpylori/" target="_blank">Helicobacter pylori</a>, Klebsiella pneumoniae, Legionella pneumophila, Listeria monocytogenes, Pseudomonas aeruginosa, Salmonella typhimurium, Staphylococcus aureus, Staphylococcus epidermidis, and Vibrio cholerae. </em>The number of human diseases shown to be associated with biofilms is expanding and includes <strong>chronic bacterial prostatitis</strong>, <strong>chronic rhinosinusitis</strong>, cystic fibrosis pneumonia, infective endocarditis, periodontitis, recurrent otitis media, and virtually all device and implant related infections. Strong evidence is also beginning to emerge for an etiologic role of pathogenic mucosal biofilms in gastrointestinal diseases, <span style="color: #ff0000;">such as Irritable Bowel Disorders: Crohn’s disease and ulcerative colitis.</span></p>
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		<title>Stress and Our Body &#8211; An Integrative Medicine Approach</title>
		<link>http://www.advancedhealing.com/blog/2009/12/11/stress-integrative-medicine-orange-county/</link>
		<comments>http://www.advancedhealing.com/blog/2009/12/11/stress-integrative-medicine-orange-county/#comments</comments>
		<pubDate>Fri, 11 Dec 2009 16:01:11 +0000</pubDate>
		<dc:creator>Dr. Marcus Ettinger</dc:creator>
				<category><![CDATA[Allergies]]></category>
		<category><![CDATA[Arthritis]]></category>
		<category><![CDATA[Chiropractic]]></category>
		<category><![CDATA[Diet]]></category>
		<category><![CDATA[Energy/Vitality/Creativity]]></category>
		<category><![CDATA[Epstein Barr]]></category>
		<category><![CDATA[Gastritis]]></category>
		<category><![CDATA[Headache]]></category>
		<category><![CDATA[Heartburn]]></category>
		<category><![CDATA[Infection]]></category>
		<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Magnesium]]></category>
		<category><![CDATA[Minerals]]></category>
		<category><![CDATA[Shingles]]></category>
		<category><![CDATA[Skin]]></category>
		<category><![CDATA[Sleep]]></category>
		<category><![CDATA[Ulcerative Colitis]]></category>
		<category><![CDATA[Vitamins]]></category>

		<guid isPermaLink="false">http://www.advancedhealing.com/blog/?p=309</guid>
		<description><![CDATA[Excessive negative stress has become, over the last 25 years, as much a part of our daily lives as eating and sleeping. Excessive negative stress can be physical (chronic illness, lack of exercise, over-exercising, etc.), emotional (losing a job, winning the lottery, etc.), or chemical (bad diet, drugs, medicines, alcohol, pesticides, etc.). Excessive negative stress [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">
<p style="text-align: justify;">Excessive negative <a title="Stress (Nutritional and Botanical Interventions)" href="http://www.advancedhealing.com/uploads/stress.pdf" target="_blank">stress</a> has become, over the last 25 years, as much a part of our daily lives as eating and sleeping. Excessive negative stress can be physical (chronic illness, lack of exercise, over-exercising, etc.), emotional (losing a job, winning the lottery, etc.), or chemical (bad diet, drugs, medicines, alcohol, pesticides, etc.).</p>
<p style="text-align: justify;">Excessive negative stress is most likely to be the initial predisposing factor in the cause and prolongation of a disease or illness. Again, the greater the exposure and duration to these negative stressors the greater the susceptibility to acute or chronic illness or body dysfunction.</p>
<p style="text-align: justify;">It is also important to note that not all stress is bad or has negative effects on our bodies. Some types of stress are actually beneficial for us and can increase our immune function, overall strength, emotional well being and longevity. The most beneficial form of stress is exercise, especially swimming and weight training. This type of stress can, in moderation, even negate some of the excessive negative stress&#8217; we face.</p>
<p style="text-align: justify;"><img class="alignleft size-full wp-image-363" style="border: 1px solid black;" title="stress_and_our_body_1" src="http://www.advancedhealing.com/blog/wp-content/uploads/2009/12/stress_and_our_body_1-.gif" alt="stress_and_our_body_1" width="224" height="253" />When our bodies are exposed to any form of negative stress our organ systems innately responds with what is known as the &#8220;fight-flight response&#8221;. During this stress induced response, many different and potentially damaging physiological reactions occur. During the initial phase, which can last for seconds to years, digestion and absorption of nutrients are greatly reduced; body tissues begin to break down; the immune system is suppressed; our heart begins to overload and the aging process is significantly accelerated. These are but a sampling of what does occur.</p>
<p style="text-align: justify;">Individuals who are exposed to excessive negative stress may also develop a condition known as adrenal exhaustion. This condition occurs when the adrenal glands work beyond their normal capacity thus eventually shutting down (no more Cortisol, a hormone, being produced). Adrenal exhaustion presents with symptoms similar to those found in patients with chronic fatigue syndrome (CFS), <a title="Hypothyroid" href="http://www.advancedhealing.com/uploads/Hypothyroid___Medications_That_Reduce_Systemic_Thyroid_Expression.pdf" target="_blank">hypothyroidism</a>, <a title="Fibromyalgia" href="http://www.advancedhealing.com/uploads/Fibromyalgia_-_Chronic_Pain_Syndrome_An_Alternative_Medicine_Perspective.pdf" target="_blank">fibromyalgia</a> and hypoglycemia (see table 1).</p>
<h3><strong>Table 1</strong></h3>
<table border="1" width="75%">
<tbody>
<tr style="text-align: left;">
<td width="195"><span style="color: #ff0000;">Tiredness</span></td>
<td><span style="color: #ff0000;">Weakness</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Depression, Anxiety <a title="Testimonial" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=19&amp;Itemid=5" target="_blank">1</a><br />
</span></td>
<td><span style="color: #ff0000;">Headache</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Muscle or Joint Pain</span></td>
<td><span style="color: #ff0000;">Heart Palpitations</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Hives, Rash, Eczema <a title="Testimonial" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=30&amp;Itemid=5" target="_blank">1</a> <a title="Testimonial 2" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=26&amp;Itemid=5" target="_blank">2</a> <a title="Testimonial 3" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=22&amp;Itemid=5" target="_blank">3</a><br />
</span></td>
<td><span style="color: #ff0000;">Bowel Disorders</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Weak Nails</span></td>
<td><span style="color: #ff0000;">Fatigue</span></td>
</tr>
<tr>
<td style="text-align: left;" width="195"><span style="color: #ff0000;">Chronic Illness<br />
</span></td>
<td><span style="color: #ff0000;">Irritability, Moodiness</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Water Retention</span></td>
<td><span style="color: #ff0000;">Weight Gain</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Dizziness, Vertigo</span></td>
<td><span style="color: #ff0000;">Arthritis</span></td>
</tr>
<tr>
<td width="195"><span style="color: #ff0000;">Salt Craving</span></td>
<td><span style="color: #ff0000;">Allergies</span></td>
</tr>
</tbody>
</table>
<p style="text-align: justify;">An integrative medicine approach for the treatment of adrenal exhaustion or the effects excessive negative stress are identical. First, it&#8217;s crucial to reduce or eliminate as many negative stressors (individual stress factors) as possible.</p>
<p style="text-align: justify;">Second, get plenty of rest, at least 8 hours, starting before midnight; engage in regular, but not excessive, exercise; greatly reduce your carbohydrates intake (bread, sweets, pasta, corn and potatoes); increase protein intake; increase fibrous vegetable intake; drink eight glasses of filtered water daily, and perform deep breathing exercises every morning and evening.</p>
<p style="text-align: justify;">Third, nutritional and/or pharmacological support. To determine pharmacological support we must first determine thyroid and adrenal function via blood tests (thyroid panel including both thyroid antibodies and rT3), and (DHEA, cortisol and progesterone) levels. Nutritional support can be in the form of DHEA and/or Pregnenolone (10 &#8211; 50 mg daily) and/or glycerrhizin (25 &#8211; 100 mg daily &#8211; preferably in the morning). These two supplements safely support proper adrenal hormone levels. DMG (vitamin B15) and Siberian Ginseng have both been shown in Russian clinical studies to help regulate the hypothalamus, pituitary, adrenal axis. Pantothenic acid (vitamin B5) is the initial precursor, along with our LDL cholesterol to our adrenal hormones, whole C complex (Ester-C w/bioflavonoids) is an antioxidant for the adrenal and the highest concentration of vitamin C out side of the spinal chord and brain is found in the adrenal; and potassium are essential for proper adrenal gland function. Adrenal glandular preparations (Whole Desiccated Adrenal (short-term), Drenamin and Drenatrophin PMG) from Standard Process Inc. will also help to support the adrenal glands. These are but a few options that I have used to support the stress response of the body.</p>
<p style="text-align: justify;">Additionally, antioxidants and supportive products like: CoQ10, glutathione, NAC, vitamin E, bioflavonoids, alpha lipoic acid, SAMe, Gabatone (Apex Energetics), L-tryptophan, <a title="Magnesium" href="http://www.advancedhealing.com/uploads/Magnesium.pdf" target="_blank">magnesium</a> and MSM, will also help reduce the overall oxidative burden placed on the body by the excessive negative stress.</p>
<p style="text-align: justify;">With the above knowledge the road to well being and health is now a much shorter one.</p>
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		<title>Biofilm Basics</title>
		<link>http://www.advancedhealing.com/blog/2009/10/18/biofilm-basics/</link>
		<comments>http://www.advancedhealing.com/blog/2009/10/18/biofilm-basics/#comments</comments>
		<pubDate>Sun, 18 Oct 2009 19:24:14 +0000</pubDate>
		<dc:creator>Dr. Marcus Ettinger</dc:creator>
				<category><![CDATA[Biofilm]]></category>
		<category><![CDATA[Gastritis]]></category>
		<category><![CDATA[H. pylori]]></category>
		<category><![CDATA[Heartburn]]></category>
		<category><![CDATA[Lyme Disease]]></category>
		<category><![CDATA[Biotene]]></category>
		<category><![CDATA[Borrelia]]></category>
		<category><![CDATA[Candida]]></category>
		<category><![CDATA[Lyme]]></category>
		<category><![CDATA[Pseudomonas]]></category>
		<category><![CDATA[Quorum Sensing]]></category>
		<category><![CDATA[sinusitus]]></category>
		<category><![CDATA[Staphylococcus]]></category>
		<category><![CDATA[Streptococcus]]></category>

		<guid isPermaLink="false">http://www.advancedhealing.com/blog/?p=197</guid>
		<description><![CDATA[&#160; A Brief history of &#8220;biofilm&#8221; Center for Biofilm Engineering Montana State University Microbial communities attached to surfaces (biofilms) were observed long before people had the tools to study them in detail. In 1684 Antony van Leeuwenhoek remarked on the vast accumulation of microorganisms in dental plaque in a report to the Royal Society of [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">&nbsp;</p>
<div id="attachment_198" class="wp-caption aligncenter" style="width: 471px"><img class="size-full wp-image-198 " title="Biofilm Formation" src="http://www.advancedhealing.com/blog/wp-content/uploads/2009/10/biofilm-formation.jpg" alt="Biofilm Formation" width="461" height="194" /><p class="wp-caption-text">Biofilm Formation</p></div>
<p style="text-align: justify;"><strong>A Brief history of &#8220;biofilm&#8221;</strong><br />
Center for Biofilm Engineering<br />
Montana State University</p>
<p style="text-align: justify;">Microbial communities attached to surfaces (biofilms) were observed long before people had the tools to study them in detail. In 1684 <a title="Biography of Antony van Leeuwenhoek" href="http://www.ucmp.berkeley.edu/history/leeuwenhoek.html" target="_blank">Antony van Leeuwenhoek</a> remarked on the vast accumulation of microorganisms in dental plaque in a report to the Royal Society of London: &#8220;The number of these <a title="definition of Animalcule" href="http://en.wikipedia.org/wiki/Animalcule" target="_blank">animalcules</a> in the scurf of a man&#8217;s teeth are so many that I believe they exceed the number of men in a kingdom.&#8221;</p>
<p style="text-align: justify;">The study of microbes took an important turn in the mid-1800s, when <a title="Robert Koch - Nobel Prize in Physiology or Medicine 1905 - Biography" href="http://nobelprize.org/nobel_prizes/medicine/laureates/1905/koch-bio.html" target="_blank">Robert Koch</a> developed methods to create a solid nutrient medium in order to grow and isolate pure cultures of microorganisms. This development led to huge advances in medicine, agriculture, and industry. However, these advances were based on such a simplistic concept of microbial life that many &#8216;solutions&#8217; generated by these techniques are now being reversed. Microorganisms have proved to be much more complex and less tractable than we ever imagined.</p>
<p style="text-align: justify;">In a 1940 issue of the Journal of Bacteriology, authors H. Heukelekian and A. Heller wrote, &#8220;Surfaces enable bacteria to develop in substrates otherwise too dilute for growth. Development takes place either as bacterial slime or colonial growth attached to surfaces.&#8221; Claude ZoBell described many of the fundamental characteristics of attached microbial communities in the 1940s. In the late decades of the 20th century, numerous articles were written about microbial films or slime layers; German researchers sometimes used the term “Schmutzdecke.” As the unique properties of microbial communities vs <a title="Definition of Planktonic" href="http://www.thefreedictionary.com/planktonic" target="_blank">planktonic</a> microbes grew more apparent, it became helpful to use a special term to describe them. “Biofilm” was used colloquially among researchers for some years before it was considered a term acceptable for use in publication. The earliest use of “biofilm” in publication is in the Swedish journal Vatten: Harremoës, P. 1977. “Half-order reactions in biofilm and filter kinetics,” Vatten, 33 122-143. (If you know of an earlier publication with “biofilm” in it, please let us know; we would be happy to make a correction.)</p>
<p style="text-align: justify;">Early biofilm researchers studied the implications of biofilms in waste-water filtration, biofouling of industrial equipment, and dental plaque (Leewenhoek would have been pleased). Since bacteria preferentially attach to surfaces, biofilms are virtually ubiquitous. Biofilm formation is also implicated in <a title="Microbiologically influenced Corrosion (MIC)" href="http://www.mde.com/publications/MIC_QA.pdf" target="_blank">microbiologically influenced corrosion (MIC)</a>, product contamination, medical device-related infections, and chronic wounds. Biofilm can also be used for positive effects, especially in water pretreatment systems and contaminated soils.</p>
<p style="text-align: justify;">In 1990, recognizing the significance of microbial activity, as well as the tremendous economic costs associated with microbial communities on surfaces, the US National Science Foundation founded the <a title="Center for Biofilm Engineering" href="http://www.biofilm.montana.edu/" target="_blank">Center for Biofilm Engineering at Montana State University</a> in Bozeman (though, interestingly, NSF would not initially accept the word “biofilm” in the Center’s name; instead the award funded the “Center for Interfacial Microbial Process Engineering”). Since that time, the field of biofilm research has exploded. New tools and techniques are continually pioneered to help understand the secrets of microbial community interactions. In addition to numerous research laboratories in the US, several groups study biofilms worldwide, including centers in Denmark, England, Germany, Australia, and Singapore.<strong> </strong></p>
<p><strong>What is a biofilm?</strong></p>
<p style="text-align: justify;">Most of you have never heard of the term &#8220;biofilm&#8221;, but you have certainly encountered “biofilm” on a routine basis. If you’ve ever been to the dentist and he&#8217;s scraped &#8220;plaque&#8221;, which causes tooth decay, off your teeth; that&#8217;s a type of bacterial biofilm. The &#8220;slim&#8221; that clogs your drains is also biofilm. The slippery coating on rocks, at the water’s edge of a stream or river, is just a  bacterial biofilm-coating. Pond-scum &#8211; a biofilm. If you&#8217;ve ever been diagnosed with <em>Candida albicans; <a title="H. pylori" href="http://www.advancedhealing.com/blog/2009/09/13/heartburn-gastritis-gerd-achlorhydria-or-h-pylori/" target="_blank">H. pylori</a>; </em>chronic sinus or prostate infection;<em> </em>or Lyme disease,  chances are they’re living, hiding and replicating in a biofilm colony.</p>
<div id="attachment_199" class="wp-caption aligncenter" style="width: 296px"><img class="size-full wp-image-199 " title="Biofilm Plaque" src="http://www.advancedhealing.com/blog/wp-content/uploads/2009/10/Biofilm-teeth.gif" alt="Biofilm Plaque" width="286" height="192" /><p class="wp-caption-text">Iodine staining of biofilm plaque (upper right)</p></div>
<p style="text-align: justify;">This is the best product for removing the bacterial biofilm that causes plaque &#8211; <a title="Biotene PBF Chewing Gum" href="http://www.biotene.com/products/pbfMouthwash.aspx#pbfGum" target="_blank">Biotene PBF Chewing Gum</a>.</p>
<p style="text-align: justify;">These microorganisms (biofilm colonies) are usually encased in an <a title="Definition" href="http://wiki.biomine.skelleftea.se/wiki/index.php/Extracellular_polysaccharide" target="_blank">extracellular polysaccharide</a> that they themselves synthesize, via the release of signaling molecules through <a title="Quorum Sensing" href="http://www.advancedhealing.com/blog/2009/12/13/quorum-sensing-and-biofilm/" target="_blank">quorum sensing (QS)</a>. This glue-like substance allows them to anchor to all kinds of surfaces – such as metals, plastics, soil particles, medical implant materials, and tissue. As long as sufficient moisture and nutrients are available, a bacterial biofilm can form just about anywhere. In your body that would be from your mouth, especially the teeth, through the stomach and GI tract, all the way down to the rectum. Biofilm in the environment can be found, most often, in ponds, streams, rivers, etc.  A biofilm can be formed by a single bacterial species, but more often than not, biofilms consist of many species of bacteria, as well as <a title="Mycology and opportnistic infections" href="http://pathmicro.med.sc.edu/mycology/opportunistic.htm" target="_blank">fungi/yeast</a>, algae, protozoa, debris and corrosion products. Once anchored to a surface, biofilm microorganisms carry out a variety of detrimental or beneficial reactions, depending on the surrounding environmental or body conditions.</p>
<p style="text-align: justify;">In the human body, biofilm colonies are the main reason that certain conditions take so long to get handled. In my opinion, if it were not for “biofilm”, conditions caused by the microorganisms &#8211; <em><a title="Mycology and Opportunistic Infections" href="http://pathmicro.med.sc.edu/mycology/opportunistic.htm" target="_blank">Candida albicans, Candida spp</a>,  <a title="H. pylori" href="http://www.advancedhealing.com/blog/2009/09/13/heartburn-gastritis-gerd-achlorhydria-or-h-pylori/" target="_blank">H. pylori</a></em>, Lyme’s bacteria (<em>Borrelia burgdorferi</em>) and many others, would be far easier to diagnose and/or treat. It is crucial in any treatment protocol to first handle the biofilm.  By doing so, it will make a significant  difference in the <span style="color: #000000;">amount of time, money and effort spent on treating many, so called, stubborn condition &#8211; like the above.</span></p>
<h2 style="text-align: left;"><a title="Dr. Ettingers Biofilm Protocol for Lyme and Gut Pathogens" href="http://www.advancedhealing.com/blog/2009/09/25/dr-ettingers-biofilm-protocol-for-lyme-and-gut-pathogens/" target="_blank"><span style="color: #000000;"><strong><span style="color: #ff0000;">Related Posts:<span style="color: #000000;"> </span></span><span style="text-decoration: underline;"><span style="color: #0000ff;">Biofilm Protocol</span></span></strong></span></a>, <a title="Quorum Sensing" href="http://www.advancedhealing.com/blog/2009/12/13/quorum-sensing-and-biofilm/" target="_blank">Quorum Sensing</a>, Lactonase</h2>
<h2 style="text-align: left;"><span style="color: #000000;"><strong><a href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=38&amp;Itemid=5" target="_blank">Biofilm Research and Links/Resources</a></strong></span></h2>
<p style="text-align: justify;"><a title="Effect of DNase and Antibiotics on Biofilm Characteristics" href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2650517/" target="_blank"><span style="color: #000000;"><strong>THE ROLE OF EXTRACELLULAR DNA IN MAINTENANCE OF BIOFILMS FORMED BY E. COLI, H. INFLUENZAE, K. PNEUMONIAE, P. AERUGINOSA, S. AUREUS, S. PYOGENES AND A. BAUMANNII</strong></span> </a>George V. Tetz &amp; Victor V. Tetz Dept. of Microbiology, Virology and Immunology; Saint-Petersburg State Pavlov Medical University, Russia Email: vtetzv@yahoo.com</p>
<p style="text-align: justify;"><span style="color: #000000;">It is known that bacteria within biofilms are much less susceptible to antibiotics particularly because of poor antimicrobial penetration through surface film that covers microbial community and inactivating role of extracellular matrix.</span> Combined effects of DNase (Enzyme for digesting single and double-stranded DNA) and antibiotics on established biofilms of different unrelated bacteria were displayed. A Combination of antibiotics with DNase I resulted in significant decrease of established biofilm biomass compared to the reduction of biomass achieved when antibiotics or DNase I were used alone.</p>
<p style="text-align: justify;"><a title="Detection of Helicobacter pylori in biofilms by real-time PCR." href="http://www.ncbi.nlm.nih.gov/pubmed/20427237" target="_blank"><strong>DETECTION OF HELICOBACTER PYLORI IN BIOFILMS BY USING REAL-TIME POLYMERASE CHAIN REACTION (PCR)</strong></a> Linke, S., Gebel, J., Büttgen, S., Exner, M. Institute for Hygiene and Public Health, University of Bonn</p>
<p style="text-align: justify;">Our results confirmed a possible existence of H. pylori in drinking-water biofilms.</p>
<p style="text-align: justify;"><a title="Chronic Equine Wounds: What Is the Role of Infection and Biofilms?" href="http://www.woundsresearch.com/files/wounds/pdfs/Westgate_WOUNDS_opt.pdf" target="_blank"><strong>ANALYSIS AND IDENTIFICATION OF THE BIOFILM WOUND MICROFLORA IN HORSE WOUNDS</strong></a> Samantha J. Westgate1, Steven L Percival2*, Derek C. Knottenbelt1 and Christine A. Cochrane1 1University of Liverpool, Department of Veterinary Clinical Science, Division of Equine Studies, Leahurst, Neston, South Wirral, UK *2ConvaTec Wound Therapeutics, Deeside, Flintshire CH5 2NU, UK</p>
<p style="text-align: justify;">Equine wound healing is notoriously problematic on the lower limb, specifically when biofilms are evident. Equine chronic wounds display similar characteristics to chronic wounds in humans thus these cases provide an effective model for human cases. Whether wounds are caused by trauma or surgery their high prevalence is of concern and treatment can be both challenging and costly. Biofilms are considered detrimental to normal healing in non-healing and infected chronic wounds because of their recalcitrant nature towards antimicrobial agents. Biofilms are also known to be resistant to the effects of the immune system. Because of this fact more research in the area of chronic wounds and biofilms is warranted.</p>
<p style="text-align: justify;">Culturable analysis of the microflora revealed that the majority of bacteria isolated from the chronic wounds of horses were Staphylococcus spp, Pseudomonas spp, Micrococcus spp, Enterococcus spp, Corynebacterium spp, Streptococcus spp, Bacillus spp, Aerococcus spp and Clostridium spp. Further analysis of all isolates highlighted their biofilm forming potential and antibiotic resistance profiles. Biofilms were shown to be evident in a large percentage of the chronic wounds. In conclusion these studies provide evidence that biofilms exist in the chronic wounds of horse which may well provide an underlying reason as to why a large percentage of chronic wounds are recalcitrant to antimicrobial therapies, do not heal a timely manner and often become infected.</p>
<p style="text-align: justify;"><strong><a title="Bacterial Biofilms in Surgical Specimens of Patients with Chronic Rhinosinusitis" href="http://onlinelibrary.wiley.com/doi/10.1097/01.mlg.0000161346.30752.18/abstract" target="_blank">BACTERIAL BIOFILMS IN SURGICAL SPECIMENS OF PATIENTS WITH CHRONIC RHINOSINUSITIS </a>(sinusitis).</strong><br />
Sanclement JA, Webster P, Thomas J, Ramadan HH. Department of Otolaryngology, West Virginia University, Morgantown, West Virginia 26506-9200, USA.</p>
<p style="text-align: justify;">CONCLUSIONS: Biofilms were demonstrated to be present in 80% the 30  patients undergoing surgery for chronic rhinosinusitis (CRS); none of the (control) patients without CRS had any evidence of biofilms.</p>
<p style="text-align: justify;"><strong>Note:</strong> According to <a title="Adaptive immune responses in Staphylococcus aureus biofilm–associated chronic rhinosinusitis" href="http://onlinelibrary.wiley.com/doi/10.1111/j.1398-9995.2011.02678.x/abstract" target="_blank">Andrew Foreman, B.M.B.S., Ph.D</a>., and colleagues from the University of Adelaide in Australia, the most common bacteria reeking havoc in those experiencing CRS is Staphylococcus aureus (S. aureus).</p>
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		<title>Heartburn/gastritis/GERD or achlorhydria or H. pylori?</title>
		<link>http://www.advancedhealing.com/blog/2009/09/13/heartburn-gastritis-gerd-achlorhydria-or-h-pylori/</link>
		<comments>http://www.advancedhealing.com/blog/2009/09/13/heartburn-gastritis-gerd-achlorhydria-or-h-pylori/#comments</comments>
		<pubDate>Sun, 13 Sep 2009 17:00:31 +0000</pubDate>
		<dc:creator>Dr. Marcus Ettinger</dc:creator>
				<category><![CDATA[Alzheimer's]]></category>
		<category><![CDATA[Gastritis]]></category>
		<category><![CDATA[H. pylori]]></category>
		<category><![CDATA[Heartburn]]></category>
		<category><![CDATA[Stomach Acid]]></category>
		<category><![CDATA[Atherosclerosis]]></category>
		<category><![CDATA[Biofilm]]></category>
		<category><![CDATA[Cardiovascular Diseases]]></category>
		<category><![CDATA[Cell Envelope]]></category>
		<category><![CDATA[Coconut Oil]]></category>
		<category><![CDATA[Enveloped Virus]]></category>
		<category><![CDATA[GERD]]></category>
		<category><![CDATA[Insulin Resistance]]></category>
		<category><![CDATA[Lauric Acid]]></category>
		<category><![CDATA[Monolaurin]]></category>
		<category><![CDATA[Sulforaphane]]></category>

		<guid isPermaLink="false">http://www.advancedhealing.com/blog/?p=145</guid>
		<description><![CDATA[Heartburn/gastritis/GERD/acid reflux. Is it really due to too much stomach acid? Not necessarily. I have to admit, I experienced a bout of gastritis once, when started my first practice. And, yes it hurt. It felt like someone poured battery acid down my throat, at the same time I was having a heart attack, while licking a nine volt battery. I think you get the picture.]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;"><strong><img class="alignleft size-full wp-image-203" title="gastritis" src="http://advancedhealing.wordpress.com/files/2008/12/gastritis.jpg" alt="gastritis" width="220" height="200" />Marcus Ettinger BSc, DC &#8211; <em>H. pylori</em> treatment &#8211; <em>H. pylori</em> protocol.</strong></p>
<p style="text-align: justify;">Disclaimer: This post is not a substitute for medical advise or  treatment and is  for informational purposes only. Please consult with a  physician before  starting any nutritional protocol on your own.</p>
<p style="text-align: justify;"><a title="H. pylori free, in just 34 days, without antibiotics!" href="http://www.advancedhealing.com/blog/2011/02/10/h-pylori-free-in-34-days-without-antibiotics/" target="_blank">Blog post &#8211; <em>H. pylori</em> free, in just 34 days, without antibiotics on Dr. Ettinger&#8217;s protocol! Lab tests to prove it. </a></p>
<p style="text-align: justify;"><strong><a title="H. pylori Resources and Links" href="http://www.advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=43&amp;Itemid=5" target="_blank"><em>H. pylori</em> &#8211; Resources and Links</a></strong></p>
<p style="text-align: justify;"><strong>&#8220;Heartburn, chronic active gastritis, GERD, acid reflux, achlorhydria or <em>H. Pylori</em></strong> <strong>- that is the question.&#8221; William Shakespeare.</strong> Are any of these conditions actually due to too much stomach acid (hyperchlorhydria)?   Not necessarily.   I have to admit here, I experienced a severe bout of gastritis &#8211; once, when I started-up my first practice. And yes, it hurt.   It felt exactly like someone poured a quart of battery acid down my throat, at the same time I was having a heart attack, while licking a brand-new nine volt battery.   I think you get the picture. <a title="The Digestive System" href="http://www.advancedhealing.com/uploads/THE_DIGESTIVE_SYSTEM.pdf" target="_blank">(The Digestive System)</a></p>
<p style="text-align: justify;">Well, to make a long story short, my stress wasn&#8217;t going to go away in the next five minutes, so I needed to apply my &#8220;medical detectiveness&#8221; and back-track the pathophysiology of the condition, to figure out the cause.   Knowing the cause and predisposing factors would allow me to apply the precise  heartburn treatment, <em>H. pylori</em> treatment, chronic active gastritis treatment, GERD treatment or low stomach HCl treatment.    The cause and predisposing factors were:</p>
<p><span style="color: #0000ff;"><strong>My Predisposing Factors:</strong></span></p>
<p style="text-align: justify;"><strong>1.</strong> <strong>Chronic Dehydration</strong> &#8211; There are different types of mucous cells in the stomach and they are easy sources to supply the body with water when dehydrated.   The thinning of the gastric mucosa or destruction of  that mucous membrane layer, makes the stomach vulnerable to acids &#8211; hydrochloric or those produced from fermentation of ingested sugars and purification of ingested proteins.  Decreased stomach acid (HCl) also creates the perfect storm for the introduction and/or colonization of the dreaded <em>H. pylori</em> bacterium.</p>
<p style="text-align: justify;"><strong>2.</strong> <strong>Zinc deficiency -</strong> I  picked-up on this during a hair-mineral analysis.  Zinc deficiency as a single factor would, most likely, not cause anything overtly noticeable.   When combined with a <em>Helicobacter pylori </em>(<em>H. pylori)</em> infection, the compounding effects created a more severe inflammatory reaction within the gastric lining.</p>
<p style="text-align: justify;"><strong>3.   Wine and Beer -</strong> Ethanol on its own can create painful erosion and inflammation of the gastric lining, but when combined with the zinc deficiency, it can  compound the degree of inflammation and drastically delay healing.</p>
<p style="text-align: justify;">4.  <em><strong> H. pylori</strong></em> <strong>or Lack of HCl?</strong> &#8211; After testing it was confirmed the <em>H. pylori </em>was present. Now was my lack of HCl the reason I got the <em>H. pylori</em> or was the <em>H. pylori</em> the cause of the reduced stomach acid?</p>
<p><span style="text-decoration: underline;">So, at this point, not only was I up shit-creek without a paddle, I was missing the canoe too.</span></p>
<p><span style="color: #0000ff;"><strong>So What Was the True Cause of My Gastritis?</strong></span></p>
<p style="text-align: justify;">#1, #2, #3 and #4 all played their individual parts in my condition.  A little more on #4 &#8211; Achlorhydria (lack of stomach HCl) or <em>H. pylori</em> bacteria: This is the, what came first, chicken or the egg dilemma.  Did my lack of stomach acid allow the <em>H. pylor</em>i a safe haven to take up residence <span style="color: #000000;"><strong>OR</strong></span> did the <em>H. pylori</em> infection cause the lack of stomach acid?  Both are possible and both allow the other to exist, and create a painful condition called atrophic gastritis.  This is exactly what I had, and, I am sure, a little erosive gastritis as well.</p>
<div id="attachment_146" class="wp-caption alignright" style="width: 310px"><img class="size-medium wp-image-146 " title="H.pylori bacteria" src="http://www.advancedhealing.com/blog/wp-content/uploads/2009/09/Hpylori-300x200.jpg" alt="Hpylori" width="300" height="200" /><p class="wp-caption-text">H. pylori bacteria</p></div>
<p style="text-align: justify;"><span style="color: #0000ff;"><strong>Diagnostic Testing:</strong></span></p>
<p style="text-align: justify;">After some diagnostic testing: allopathic (traditional medicine), which included <a title="BioHealth Diagnostics" href="http://www.biodia.com/labassess_gi_infections.html" target="_blank">BioHealth Diagnostics Laboratories 401H</a> ( GI Pathogen Screen w/ H. pylori Antigen $270.00) and energetic testing (Applied Kinesiology &amp; Contact Reflex Analysis), I now knew what was going on, what caused it and what to do to get it completely under control.   I confirmed that I did have <em><a title="About - H. Pylori" href="http://en.wikipedia.org/wiki/H._pylori" target="_blank">Helicobacter pylori</a> -</em> <em>H. pylori</em> for short.</p>
<p style="text-align: justify;"><strong><span style="color: #0000ff;">The True Cause &#8211; H. pylori:</span></strong></p>
<p style="text-align: justify;"><em>Helicobacter pylori</em> <em>(H. pylori</em>) is a spiral-shaped gram-negative bacterium which was identified in 1979[1]. It produces urease in abundance, the activity of which, through the production of   ammonia, together with the bacterium’s motility and ability to adhere to the gastric mucosa, enables its survival in the acid environment of the stomach. About half of the worlds population house <em>H. pylori, in their stomach,</em> and are unphased by it. But in about 15 percent of those infected, the microbes cause peptic ulcers and chronic active gastritis, and in an unluckier bunch the <em>H. pylori</em> is a causative agent for gastric cancer and mucosa associated lymphoid tissue lymphoma[2]. It has also been shown to be associated with extragastric diseases, such as iron deficiency anemia and <a title="Idiopathic Thrombocytopenic Purpura" href="http://www.nhlbi.nih.gov/health/dci/Diseases/Itp/ITP_WhatIs.html" target="_blank">idiopathic thrombocytopenic purpura</a>[3-5].</p>
<p style="text-align: justify;">1.<strong> Pajares JM</strong>, Gisbert JP. Helicobacter pylori: its discovery and relevance for medicine. Rev Esp Enferm Dig 2006; 98: 770-785<br />
2. <strong>Sari YS</strong>, Sander E, Erkan E, Tunali V. Endoscopic diagnoses and CLO test results in 9239 cases, prevalence of Helicobacter pylori in Istanbul, Turkey. J Gastroenterol Hepatol 2007; 22:1706-1711<br />
3. <strong>Bohr UR</strong>, Annibale B, Franceschi F, Roccarina D, Gasbarrini A. Extragastric manifestations of Helicobacter pylori infection &#8212; other Helicobacters. Helicobacter 2007; 12 Suppl 1: 45-53<br />
4. <strong>Franceschi F</strong>, Roccarina D, Gasbarrini A. Extragastric manifestations of Helicobacter pylori infection. Minerva Med 2006;97: 39-45<br />
5. <strong>Franceschi F</strong>, Gasbarrini A. Helicobacter pylori and extragastric diseases. Best Pract Res Clin Gastroenterol 2007; 21: 325-334</p>
<p style="text-align: justify;"><span style="color: #0000ff;"><strong>My H. pylori Treatment Protocol</strong></span></p>
<p style="text-align: justify;"><strong>Pre-treatment</strong> &#8211; First, I took antacids (over the counter &#8211; Zantac OTC) to increase the susceptibility of the <em>H. pylori</em> to treatment/eradication (lesson the need of  <em>H. pylori</em> to defend itself so vigorously) and allow my gastric mucosa a chance to heal.  Note: The<em> H. pylori</em> form protective bacterial colonies called <a title="Biofilm" href="../category/biofilm/" target="_blank">biofilm</a>, which are made up of a protective, extracellular polysaccharide shield. This protective shield is a defensive barrier against stomach hydrochloric acid and other factors, like antibiotics. Being a complex matrix of proteins and carbohydrates, which are probably interdependent, the H. pylori biofilm could possibly offer a protective haven for the survival of this gastric bacterial pathogen in the extragastric environments (<a title="Proteomannans in Biofilm of Helicobacter pylori ATCC 43504." href="http://www.ncbi.nlm.nih.gov/pubmed/21435085" target="_blank">Proteomannans in Biofilm of Helicobacter pylori ATCC 43504</a>).</p>
<p style="text-align: justify;"><strong>Treatment</strong> &#8211; Second, my personal <em>H. pylori</em> bomb consisted of: x,xxx mg’s 2x/day of <strong><a title="Microorganisms inactivated by monolaurin" href="http://www.advancedhealing.com/uploads/Microorganisms_Inactivated_by_Monolaurin_under_Laboratory_Conditions.pdf" target="_blank">Monolaurin</a></strong> (xxx mg&#8217;s lauric acid per cap &#8211; also see <a title="Benefits of coconut oil &amp; lauric acid" href="http://www.coconutoil.com/mary_enig.htm" target="_blank">coconut oil</a>, which is 50% lauric acid by weight) and x caps  x times per day of <strong>H-PLR</strong> (Supports bacterial elimination) from Apex Energetics.  I also juiced 1/4 cabbage every day (<a title="Vitamin U" href="http://en.wikipedia.org/wiki/S-Methylmethionine" target="_blank">cabbage contains S-Methylmethionine also known as Vitamin U, a great healer of ulcers and gastritis</a>).  After  4 weeks on my protocol I was feeling like a new man!   I rechecked myself, after 8 weeks, and was free of the foreign invaders, breath test confirmed the same.  <strong> </strong></p>
<p style="text-align: justify;"><strong>Note:</strong> As of September 2009,  I&#8217;m also adding <a title="Klaire Labs InterFase Plus" href="http://www.klaire.com/K-INTP_proddetail.htm" target="_blank">Klaire Labs &#8211; <strong>InterFase Plus</strong></a>, x caps x per day on an empty stomach to my <em>H. pylori</em> treatment protocol.  InterFase Plus is now an important and mandatory part of the protocol.  InterFase Plus aids in the eradication of biofilm, especially <em>H. pylori</em> <a title="Biofilm Basics" href="http://www.advancedhealing.com/blog/2009/10/18/biofilm-basics/" target="_blank">biofilm</a> colonies.  This is a major advancement in my protocol.  <strong>Understanding BIOFILM is extremely important for a variety of reasons.  Please follow any biofilm link to read more about it and also see my <a title="Biofiml Protocol" href="http://www.advancedhealing.com/blog/2009/09/25/dr-ettingers-biofilm-protocol-for-lyme-and-gut-pathogens/" target="_blank">biofilm protocol</a>.</strong> <span style="color: #000000;">Additional products taken during the treatment phase: Probiotic Defense Powder (multi-strain pro-biotic and pre-biotic formula), NAC by Now Foods and Psyllium Husk Fiber.</span></p>
<p><span style="text-decoration: underline;">Certain dietary restrictions and additions will need to be  taken. These  are determined on a case by case basis.</span></p>
<p style="text-align: justify;"><strong>Prevention</strong> &#8211; Third, was to keep the <em>H. pylori </em>bacteria from coming back and keep the healing process moving forward.   I took digestive enzymes w/HCl* &#8211; x w/ea. meal, plant based enzymes &#8211; x w/ea. meal, zinc** &#8211; xx mg&#8217;s x per day, L-carnosine** &#8211; xxx mg&#8217;s x times per day, mastic gum*** x,xxx mg&#8217;s x times per day, <a title="TheraAloe" href="http://www.caoh.org/organicaloe.html" target="_blank">TheraAloe**** &#8211; x ounce x times per day</a>, chlorophyll &#8211; xxx mg&#8217;s x per day (chlorella or spirulina can be substituted for chlorophyll), a daily broad-spectrum probiotic (Probiotic Defense Powder or Probiotic-10 from Now Foods), psyllium husk fiber (x heaping Tbsp x-x times per day) and tons of distilled water, for 6 weeks.  I was now better than before my first symptom.</p>
<p style="text-align: justify;">All-in-all, it was a learning experience, and one that has made me a better doctor and a more diligent medical detective.</p>
<p style="text-align: justify;"><strong>FYI:</strong> Gastritis is not a single condition, but several different conditions that all share inflammation of the stomach lining as a common symptom.  Gastritis, most often, is caused by prolonged use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin, drinking too much alcohol or infection such as <em>Helicobacter pylori </em>bacteria (<em>H. pylori</em>). It may also occur after a major surgery, severe infections, trauma-injury-burns, or severe infections.  Some diseases, such as pernicious (B12 deficiency) anemia, autoimmune diseases, and chronic bile reflux, can cause gastritis as well.</p>
<p style="text-align: justify;"><strong>*</strong>Microscopy studies of the motility of <em>H. pylori</em> in gastric mucin at acidic and neutral pH in the absence of urea show that the bacteria swim freely at high (alkaline &#8211; achlorhydria) pH, and are strongly constrained at low (acidic) pH.  Also, <em>H. Pylori</em>, through enzyme reactions promote increased ammonia production, which raises the pH of its environment &#8211; allowing it to move more freely.</p>
<p style="text-align: justify;"><strong><a title="Research Study" href="http://www.ncbi.nlm.nih.gov/pubmed/2331952" target="_blank">(**)</a></strong>A combination of zinc and L-carnosine has been shown to prevent gross visible damage to gastric mucosa caused by ethanol ingestion.  This combination also acts as a potent antioxidant, specifically benefiting the gastric mucosa.</p>
<p style="text-align: justify;"><strong>***</strong>There is conflicting data on whether mastic gum kills <em>H. pylori </em>effectively in vivo (live human trials).  Killing it in a test tube or mice  is one thing, but I am interested in living human beings.  There is evidence that it aids in the healing of the gastric mucosa, possessing anti-inflammatory properties.  I used it for healing rather than as an agent to kill the <em>H. pylori</em> bacteria.  <strong>Note: </strong>there are studies that have shown that mastic gum kills <em>H. pylori</em>.  The problem is that it is in less than 30% of the trial groups.  So it works in about 1 out of every 3 that try it as a primary treatment (at dosages of 500mg&#8217;s 3x/day).</p>
<p style="text-align: justify;"><strong>****</strong><a title="TherAloe" href="http://www.caoh.org/organicaloe.html" target="_blank">TherAloe</a> is a high molecular weight polysaccharides containing aloe vera juice product. Its healing capabilities, as far as I am concerned, are quite profound on the gastric mucosa.</p>
<h2 style="text-align: justify;"><span style="color: #000000;">Important  Note on Purchasing Products:</span></h2>
<h2 style="text-align: justify;"><span style="color: #ff0000;">All dosages  will be provided if you purchase some or all of  your products through  my office. I truly do want to help all who are interested, but it&#8217;s finally  gotten to the point where too many people want free advice and an  increasing amount of my time, and then buy all of their products  elsewhere. I am a firm  believer in fair exchange  and I feel I have  done that by providing the information in this post.</span></h2>
<h2 style="text-align: justify;"><span style="color: #ff0000;">I also offer  tailor made protocols for your individual situation, please contact our  office for product prices and distance patient information <span style="color: #000000;">(714) 639-4360</span></span><span style="color: #ff0000;"><span style="color: #000000;"><span style="text-decoration: underline;"> </span></span></span></h2>
<h2 style="text-align: justify;"></h2>
<h1 style="text-align: justify;"><span style="color: #ff0000;"><span style="color: #000000;"><span style="text-decoration: underline;">H. Pylori Articles:</span><br />
</span></span></h1>
<div><a title="Herbs, Probiotics and H. pylori" href="http://advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=42&amp;Itemid=5" target="_blank">Herbs, Probiotics and H. pylori</a></div>
<div><a title="Heartburn/gastritis/GERD or achlorhydria or H. pylori?" href="http://advancedhealing.com/blog/2009/09/13/heartburn-gastritis-gerd-achlorhydria-or-h-pylori/" target="_blank">Heartburn/gastritis/GERD or achlorhydria or H. pylori?</a></div>
<div><a title="Biofilm Basics" href="http://advancedhealing.com/blog/2009/10/18/biofilm-basics/" target="_blank">Biofilm Basics</a></div>
<div><a title="Dr. Ettinger’s Biofilm Protocol for Lyme and Gut Pathogens" href="http://advancedhealing.com/blog/2009/09/25/dr-ettingers-biofilm-protocol-for-lyme-and-gut-pathogens/" target="_blank">Dr. Ettinger’s Biofilm Protocol for Lyme and Gut Pathogens</a></div>
<div><a title="Quorum Sensing and Biofilm" href="http://advancedhealing.com/blog/2009/12/13/quorum-sensing-and-biofilm/" target="_blank">Quorum Sensing and Biofilm</a></div>
<div><a title="Can H. Pylori actually be good for us?" href="http://advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=44&amp;Itemid=5" target="_blank">Can H. pylori actually be good for us? An Endangered Species in the Stomach, by Martin J. Blaser</a></div>
<div><a title="Probiotics may represent a novel approach in the management of H. pylori infection" href="http://advancedhealing.com/index.php?option=com_content&amp;view=article&amp;id=46&amp;Itemid=5" target="_blank">Probiotics May Represent a Novel Approach to The Management of H. pylori Infection.</a></div>
<div><a title="H. pylori, Pseudomonas aeruginosa and the Antibiotic Conection" href="http://advancedhealing.com/images/pdf/h._pylori_pseudomonas_aeruginosa_and_antibiotics.pdf" target="_blank">The H. pylori, Pseudomonas aeruginosa and Antibiotic Connection</a></div>
<div><a title="Helicobacter Pylori and Alzheimer's " href="http://www.huffingtonpost.com/scott-mendelson-md/helicobacter-pylori_b_1140424.html" target="_blank">Helicobacter Pylori and Alzheimer&#8217;s</a><a title="Ulcer-Causing Helicobacter Pylori Survives In Our Acidic Gut By Turning It Neutral" href="http://www.asianscientist.com/in-the-lab/helicobacter-pylori-stomach-cancer-survives-in-acidic-gut-by-neutralizing-it-cuhk-2011/" target="_blank"></a></div>
<div><a title="Ulcer-Causing Helicobacter Pylori Survives In Our Acidic Gut By Turning It Neutral" href="http://www.asianscientist.com/in-the-lab/helicobacter-pylori-stomach-cancer-survives-in-acidic-gut-by-neutralizing-it-cuhk-2011/" target="_blank">Ulcer-Causing Helicobacter Pylori Survives In Our Acidic Gut By Turning It Neutral</a><span style="color: #ff0000;"><span style="color: #000000;"><span style="text-decoration: underline;"> </span></span></span></div>
<div></div>
<h1><span style="color: #ff0000;"><span style="color: #000000;"><span style="text-decoration: underline;">Updates:</span><br />
</span></span></h1>
<p style="text-align: justify;"><span style="color: #ff0000;"><strong>September 13, 2009 Update</strong></span> &#8211; I am now taking, Source Naturals &#8211; Broccoli Sprouts Extract, which provides 2,000mcg&#8217;s sulforaphane daily.  This is equivalent to eating more than a pound of fresh broccoli. <a title="H. pylori supprotive data" href="http://cancerpreventionresearch.aacrjournals.org/cgi/content/abstract/2/4/353" target="_blank">Dietary Sulforaphane-Rich Broccoli Sprouts Reduce Colonization and Attenuate Gastritis in Helicobacter pylori–Infected Mice and Humans </a></p>
<p style="text-align: justify;"><span style="color: #ff0000;"><strong>October 03, 2009  Update</strong></span> -<em> H. pylori</em> most likely will live in biofilm colonies which make them even harder to kill or be identified by our host defenses. Read more about biofilms here and my protocol to remove them. <a title="Biofilms" href="http://www.advancedhealing.com/blog/2009/09/25/dr-ettingers-biofilm-protocol-for-lyme-and-gut-pathogens/" target="_blank">BIOFILMS</a></p>
<p style="text-align: justify;"><strong><span style="color: #ff0000;">November 03, 2009 Update</span></strong> &#8211; In my never ending quest for knowledge, I just came across this interesting piece of data. The <em>H. pylori</em> bacteria is thought to have been with us for around 58,000 years and migrated with modern man out of east Africa. Here is the link to this article. &#8211;  <a title="An African origin to H. pylori" href="http://www.nature.com/nature/journal/v445/n7130/abs/nature05562.html" target="_blank">An African origin for the intimate association between humans and <em>Helicobacter pylori</em> </a></p>
<p style="text-align: justify;"><strong><span style="color: #ff0000;">November 18, 2009 Update</span></strong> &#8211; Here are two <a title="PubMed" href="http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed" target="_blank">PubMed</a> articles validating the effectiveness of Monolaurin for the prevention and/or eradication of <em>H. pylori</em>.</p>
<p style="text-align: justify;"><a title="Monolaurin" href="http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&amp;uid=12385681&amp;cmd=showdetailview&amp;indexed=google" target="_blank">Int J Antimicrob Agents. 2002 Oct;20(4):258-62</a><br />
<strong>Bactericidal effects of fatty acids and monoglycerides (Monolaurin) on Helicobacter pylori</strong><br />
Bergsson G, Steingrímsson O, Thormar H. Institute of Biology, University of Iceland, Grensasvegur 12, 108, Reykjavik, Iceland. bergsson@here.is</p>
<p style="text-align: justify;">The susceptibility of Salmonella spp., Escherichia coli and Helicobacter pylori to fatty acids and monoglycerides was studied.  None of the lipids showed significant antibacterial activity against Salmonella spp. and E. coli but eight of 12 lipids tested showed high activity against H. pylori; monocaprin and <a title="Monolaurin" href="http://www.advancedhealing.com/uploads/Microorganisms_Inactivated_by_Monolaurin_under_Laboratory_Conditions.pdf" target="_blank">monolaurin</a> being the most active.  The high activity of monoglycerides against H. pylori suggests that they may be useful as active ingredients in pharmaceutical formulations.</p>
<p style="text-align: left;"><a title="Monolaurin" href="http://www.ncbi.nlm.nih.gov/pubmed/16010969" target="_blank">Mol Cell Biochem. 2005 Apr;272(1-2):29-34</a><br />
<strong>Minimum inhibitory concentrations of herbal essential oils and monolaurin for gram-positive and gram-negative bacteria</strong><br />
Preuss HG, Echard B, Enig M, Brook I, Elliott TB. Department of Physiology and Biophysics, Georgetown University Medical Center, Washington, DC 20057, USA. preusshg@georgetown.edu</p>
<p style="text-align: justify;">New, safe antimicrobial agents are needed to prevent and overcome severe bacterial, viral, and fungal infections. Based on our previous experience and that of others, we postulated that herbal essential oils, such as those of origanum, and <a title="Monolaurin" href="http://www.advancedhealing.com/uploads/Microorganisms_Inactivated_by_Monolaurin_under_Laboratory_Conditions.pdf" target="_blank">monolaurin</a> offer such possibilities. We examined in vitro the cidal (def. <em>killing,</em> as in bactericidal) and/or static effects of <a title="Oregano Oil" href="http://www.caoh.org/oregano-oil.html" target="_blank">oil of origanum</a>, several other essential oils, and monolaurin on Staphylococcus aureus, Bacillus anthracis Sterne, Escherichia coli, Klebsiella pneumoniae, <strong>Helicobacter pylori</strong>, and Mycobacterium terrae. Origanum proved cidal to all tested organisms with the exception of B. anthracis Sterne in which it was static. Monolaurin was cidal to S. aureus and M. terrae but not to E. coli and K. pneumoniae. <span style="color: #000000;">Unlike the other two gram-negative organisms, <strong>H. pylori were extremely sensitive to monolaurin</strong>.</span> Similar to origanum, monolaurin was static to B. anthracis Sterne. <span style="color: #000000;">Because of their longstanding safety record, origanum and/or monolaurin, alone or combined with antibiotics, might prove useful in the prevention and treatment of severe bacterial infections, especially those that are difficult to treat and/or are antibiotic resistant (also see <a title="Biofilm" href="http://www.advancedhealing.com/blog/category/biofilm/" target="_blank">biofilm</a>, as a source of antibiotic resistance).</span></p>
<p style="text-align: justify;"><span style="color: #000000;"><strong>Note:</strong> Monolaurin has been shown to inactive many forms of bacteria and <a title="Monolaurin and Enveloped Virus'" href="http://www3.interscience.wiley.com/journal/120045775/abstract" target="_blank">virus&#8217;</a> that are protected by an outer </span><span style="color: #000000;">lipid </span><span style="color: #000000;">membrane, known as an envelope (<a title="H. pylori cell envelope" href="http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hp&amp;part=A692" target="_blank">H. pylori cell envelope)</a>.  The mechanism is due to monolaurin&#8217;s ability aid in the disintegration of this lipid membrane. </span><span style="color: #000000;"> </span></p>
<p style="text-align: justify;"><strong><span style="color: #ff0000;">May 02, 2010 Update <span style="color: #000000;">- </span></span></strong><span style="color: #ff0000;"><span style="color: #000000;">A recent review, just published, of available literature on the use of probiotics in the treatment or prevention of <em>H. pylori</em> infection, validated that, <em>&#8220;</em></span></span><em>Both in vitro and in vivo studies provide evidence that probiotics may represent a novel approach to the management of H. pylori infection.&#8221;</em><span style="color: #ff0000;"><span style="color: #000000;"> </span></span></p>
<p>Helicobacter. 2010 Apr;15(2):79-87.<br />
<a title="Role of Probiotics in Pediatric Patients with H. pylori Infection" href="http://www.ncbi.nlm.nih.gov/pubmed/20402810" target="_blank"><strong>Role of probiotics in pediatric patients with Helicobacter pylori infection</strong></a>: a comprehensive review of the literature.<br />
Lionetti E, Indrio F, Pavone L, Borrelli G, Cavallo L, Francavilla R. Department of Paediatrics, University of Catania, Catania, Italy. elenalionetti@inwind.it</p>
<p style="text-align: justify;"><strong><span style="color: #ff0000;">March 28, 1011 Update</span></strong> &#8211; Helicobacter pylori infection has been associated with diverse extra-digestive morbidity, including insulin resistance (IR) syndrome (1), atherosclerosis and cardiovascular diseases (2). Insulin resistance is the pathophysiologic background of the clinical features of atherosclerosis and cardiovascular diseases.</p>
<p style="text-align: justify;"><strong>Morbidity</strong> &#8211; The rate of incidence of a disease. (Medicine / Pathology) Also called morbidity rate the relative incidence of a particular disease in a specific locality.</p>
<p style="text-align: justify;">1. Gunji T. <a title="Helicobacter pylori infection significantly increases insulin resistance in the asymptomatic Japanese population" href="http://www.ncbi.nlm.nih.gov/pubmed/19751440" target="_blank"><strong>Helicobacter pylori infection significantly increases insulin resistance in the asymptomatic Japanese population.</strong></a> Helicobacter. 2009 Oct;14(5):144-50.<br />
2. Polyzos SA. <a title="The Association Between Helicobacter pylori Infection and Insulin Resistance: A Systematic Review" href="http://www.ncbi.nlm.nih.gov/pubmed/21435084" target="_blank"><strong>The Association Between Helicobacter pylori Infection and Insulin Resistance: A Systematic Review.</strong></a> Helicobacter. 2011 Apr;16(2):79-88. doi: 10.1111/j.1523-5378.2011.00822.x.</p>
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		<title>Ettinger’s Theory on &#8220;Body Remodeling&#8221;</title>
		<link>http://www.advancedhealing.com/blog/2009/04/26/marcus-ettinger%e2%80%99s-theory-of-how-the-body-remodels/</link>
		<comments>http://www.advancedhealing.com/blog/2009/04/26/marcus-ettinger%e2%80%99s-theory-of-how-the-body-remodels/#comments</comments>
		<pubDate>Sun, 26 Apr 2009 21:46:33 +0000</pubDate>
		<dc:creator>Dr. Marcus Ettinger</dc:creator>
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		<description><![CDATA[My theory has developed over a 20 year period of time and holds credibility as a corollary to the long-standing law in anatomy and physiology known as &#8211; Wollf’s law.  Wolff’s law, in short, states that, “bone remodels according to the physical stress placed upon it.”  As an example: a pitcher&#8217;s, pitching arm (humerus, radius [...]]]></description>
			<content:encoded><![CDATA[<p><img class="aligncenter size-full wp-image-135" title="body" src="http://advancedhealing.wordpress.com/files/2009/01/body.jpg" alt="body" width="297" height="297" /></p>
<p style="text-align: justify;">My theory has developed over a 20 year period of time and holds credibility as a corollary to the long-standing law in anatomy and physiology known as &#8211; Wollf’s law.  Wolff’s law, in short, states that, “bone remodels according to the physical stress placed upon it.”  As an example: a pitcher&#8217;s, pitching arm (humerus, radius and ulna) will be denser than his non-pitching arm.  The opposite of this is, if we lived in outer-space our bones would dissolve (osteoporosis) because of the lack of gravity; no weight-bearing load on the bones.  All of the calcium supplementation, estrogen replacement (for women), and Fosimax (medication) in the world would not prevent this process from happening.</p>
<p style="text-align: justify;">My theory takes Wollf&#8217;s law to the next level and states,<span style="color: #0000ff;"><strong> <span style="color: #000000;">“Our entire body remodels according to the stress placed upon it: invisibly, physically, emotionally and chemically.”</span></strong></span> All four of these stressors or outside influences/forces, will directly affect the remodeling of every cell, tissue and physiological function of the body.  This means that our inward and outward appearance and physiological state is in direct correlation to the (way, what and/or how) we sleep, eat, drink, act, exercise, think, deal with stress, or are exposed to stress&#8217; or outside forces.</p>
<p style="text-align: justify;"><strong>Physical stress</strong> makes-up the largest portion of the overall stressors we will be subjected to on a daily basis. The foods we eat and how often, our exercise level or lack of exercise, chronic postures (work, driving and sleep), chemicals, pesticides, excessive alcohol, medicines, drugs and our body&#8217;s own waste products, all influence how we remodel.</p>
<p style="text-align: justify;">If we ingest all of the essential nutrients that our body requires, with all other factors aside, our body will remodel properly. The opposite can be said for eating devitalized food, such as fast food, boxed or canned food; as well as being exposed to drugs, medicines, alcohol, pesticides, toxins, etc&#8230; Examples: If we increase protein and weight bearing exercise, an increase in muscle mass and strength will be the result. If we increase fats and/or carbohydrates, combined with a lack of physical exercise, an increase in body fat, blood sugar, blood fats and blood pressure will be the result. This is called: diabetes, obesity, high cholesterol and hypertension. Exposure to toxins, pesticides, molds, drugs or excessive alcohol, may lead to cancer, ADHD and many other diseases.</p>
<p style="text-align: justify;"><strong>Emotional stress</strong> placed on the body will have similar effects. If we feel or are exposed to happiness, joy or generosity, all good stress&#8217; will facilitate a positive remodeling (ex. neurotransmitter and hormone production). If we feel or are exposed to anger, expressed or unexpressed resentment, blame or shame, all negative emotions, this will facilitate our body to remodel in a non-optimum way (increased inflammation on decreased endocrine and brain function – Parkinson’s and Alzheimer’s).  The negative remodeling can lead to everything we don’t want to have our body experience, such as cancer, autoimmune disease and body degeneration. The positive remodeling will help increase the immune system and overall strength of the body, leading to a longer, healthier and more vibrant life.</p>
<p style="text-align: justify;"><strong>Invisible forces</strong> (electromagnetic waves [radio waves, microwaves, infrared radiation, visible light, ultraviolet radiation, X-rays and gamma rays], gravity and ionizing radiation) are constantly present and can affect us as much as the overt chemical, emotional and physical forces do. The invisible forces, most of the time, actually precede and initiate the physical, emotional or chemical stress&#8217; that causes the remodeling of our body&#8217;s cells or, more specifically, the cell membranes.</p>
<p style="text-align: justify;">It’s easy to see from this, that everything we do or don’t do, and everything that is done to us, sometimes unknowingly, affects how our body remodels. This means how we look and how we functions.  The point I am trying to make here is that we can at least be “cause” of over a very large part of this and be responsible for what we do on a daily basis (eat, exercise, rest…) and what we allow around us. If we do not learn from this then we can go through life at “effect” like a stick floating down a river, out of control. By ignoring this theory, negative remodeling will be the outcome and all the negative consequences that come with it. The choice is ours.</p>
<p style="text-align: center;">©06 January 2009 Marcus Ettinger and <a title="630 S. Glassell St. #103. Orange, CA 92866. The practice of Dr. Marcus Ettinger DC" href="http://www.advancedhealing.com/" target="_blank">AdvancedHealing.Com</a>. All rights reserved (no portion of this may be re-printed or used without permission)</p>
<p style="text-align: justify;">&nbsp;</p>
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