Alternative Medicine Meets

Clinical Pharmacy

Daniel T. Wagner, R.Ph.,

Pharm.D., MBA, Herbalist, CBM

Objectives

• Describe the multi-factorial state of

wellness and optimal nutrition

• Define “integrative” pharmacy practice as a

fusion between allopathic drugs, natural

medicines, nutrition and energy medicine

• Contrast the effects and side-effects of con-

comitantly taking both medicines

• Describe 20 leading alternative products on

the American market- risks vs benefits

DISCLOSURE STATEMENT

• The presenter for this activity has been

required to disclose all relationships with

any proprietary entity producing health care

goods and services, with the exemption of

non-profit or government organizations and

non-health related companies.

• No significant financial relationships with

commercial entities were disclosed by any

of the speakers

Health : A Multifactorial State of

Wellness

• Goals:

– state of personalized well-being

– balancing stress

– optimal cognition

– less trouble with illness

– dietary improvement

– harnessing personal & family quality of life

The Targets of Optimal

Nutrition

• Optimal Biochemical Balance

• Improving Resistance to Microbial Insult

• Xenobiotic Protection

• Managing Stress…..without Stress

• Reducing Chronic Degeneration

• Wellness & Rejuvenation

What is “Integrative Pharmacy

Practice”

• What does

‘alternative” really

mean…..

• The fusion of natural

medicine, nutrition,

and frequency

medicine in relation-

ship with allopathic

medicine.

• Focus on educating

the public about

disorders, nutrient

depletion for more

comprehensive mgt.

• Informed self-care

• Allow the pharmacist

to play a larger role

(with physician) in the

healthcare process.

Reductionist vs Integrative

• Allopathic medicine was formed during the

time medicine wanted to be specific and

understand cause and effect- 100 years ago!

• 1930s: AMA instituted different approaches

toward disease & illness and applied a strict

definition of legitimacy based on which

approaches were supported by reductionist

science. Systems not supported by this

approach were eliminated from the canon.

Canon of Health Care

• “There is one cause, one disease, and one

treatment.” “A bacteria is a bacteria is a

bacteria……kill it (antibiotics)

• Reductionist science dictated that if medical

schools wanted funding & authority to grant

licensure, they converted.

• The ‘toolbox’ for cancer was established:

surgery/radiation/chemo was called the

‘standard of care.’

Mary Buninger, M.D.

“Since the 1950s, we’ve landed on the Moon,

created cordless tools, put satellites in space,

developed computers and the Internet,

invented MTIs and PET scans, made DNA

fingerprinting a courtroom standard, and

mapped the human genome. Yet we have

come no closer to winning the WAR ON

CANCER.”

Integrative Approach

• Cancer is a syndrome, not one disease, so

there is more than one way to treat it.

• Not everyone has the same ‘cancer.’

• Integrative practitioners are moving the

viewpoint forward, and there protocol

reflect the idea that cancer can require many

approaches. It is the element of a large

cookbook of protocol options, not any one

element always brings success.

Achieving A Nutritional Baseline

• Macronutrients

– Water

– Proteins

– Carbohydrates

– Fats

• Micronutrients

– Vitamins

– Minerals

– Antioxidants

– Phytochemicals

Wellness Lifestyle

pH Levels• 7.0 neutral water

• 7.4 blood

• 7.1 saliva cells

• 1.5 stomach juices

• 2.5 cola

• 3.2 diet soft drinks

• 4.7 beer

• 7.8 bottled water

• 8.4 filtered tap water

Reasons to Avoid an Acidic pH

• Corrodes arteries, veins, heart tissue.

• Accelerates oxidative stress

• Causes the GI tract (gut) to be more acidic

creating ideal environment for

microorganisms

• Inhibits metabolism of energy reserves.

• Inhibits cellular regeneration & DNA.

• Inhibits oxygenation of tissues.

Best Ways to Alkalize

• Drink water

• Baking soda (sodium bicarbonate)

• Consume more SuperGREENS (e.g., kale,

spinach, spirulina, chlorella, green algae)

• Minerals

• Lemons

• Limes

NATURAL MEDICINE

MEETS

CLINICAL SCIENCE

Medications that may rob the body

of essential nutrients

Drug Related Problems &

Prospective Drug Use Review• Adverse drug reactions

• Drugs used without indication

• Improper drug selection, over/sub dosage

• Drug-nutrient depletion

• Drug-drug interactions

• Drug-herb-nutrient interactions

• Drug-food-nutrient interactions

• Drug-allergy interactions

Calcium Vital Info

• Vitamin D is necessary for calcium absorption

• Calcium Carbonate is not well absorbed, Calcium

Citrate appears among the most bioavailable

• Maintain Cal/Mag levels of approximately 1:1

• Depletions: antibiotics, acid blockers, BP drugs,

antacids, aspirin, antiviral drugs, digoxin,

hormone replacement drugs, laxatives, SERMs.

• Don’t take calcium/magnesium supplements

within 3 hours of taking thyroid medicines.

Magnesium

• Useful in protection against heart disease

• An important component in every cell in body

• Essential for enzyme systems, protein synthesis

and contraction of muscles & nerve function.

• Depletions: acid blockers (PPI), antacids, anti-

biotics, BP drugs, anti-virals, steroids, hormone

replacement drugs, Immunosuppressants

• Low levels in most Americans (especially

women over 35). Low levels may be responsible

for 30% of headaches/migraines/leg cramps.

Vitamin C

• A water-soluble vitamins that supports

immune system function and collagen

health.

• Vit C helps form red blood cells, provides

antioxidant protection against free radicals.

• Important for allergy and asthma patients.

• Depletion: acid blockers, aspirin, antacids,

NSAIDs, anti-virals, BP drugs, antibiotics

Vitamin D3(Cholecalciferol)

• A fat-soluble vitamin (hormone) that

promotes the absorption of calcium and

phosphorus in development of teeth, bones.

• The ‘sunshine’ vitamin, Protects from

cancer, depression, insulin sensitivity, liver

& kidney dysfunction, cavities.

• Depletions: cholesterol agents, PPI,

antacids, antibiotics, BP drugs, steroids

B-Complex

• Water soluble vitamins that include B1, B2, B3,

B5, B6, B12, folic acid, biotin

• The B’s are important for nerve regeneration and

function. They rejuvenate nerves associated with

energy, hair growth, digestion, blood cells,

improve circulation and arteries.

• Depletion: acid blockers, antibiotics, BP drugs,

anticonvulsants, bronchodilators, diabetic drugs.

• Vegetarians & diabetics need extra Vit B12

Probiotics

• At least 400 different species of micro-org

inhabit the human G.I. Tract-pathogenic

organisms cause disease-symbiotic

microorganisms benefit human health.

• Best sources: supplementation, yogurt,

cultured milk products, high fiber diets.

• Depletions: all PPI, all antibiotics, antacids,

virtually all prescriptions meds, OTC meds

Digestive Enzymes

• Are produced primarily from the pancreas.

• Support proper digestive function, gastric

emptying, breaking down fats & proteins.

• Insufficiency can cause gas, bloating, IBS.

• Both animal and plant sources.

• Take pepsin with HCL when low stomach

acid (especially with PIP drugs)

Coenzyme Q-10 (Ubiquinone)• Critical nutrient for the integrity of the

cardiovascular system (angina, hypertension,

heart disease, arrhythmias and high cholesterol)

• Powerful antioxidant that can decrease the

proliferation of free radicals (immune function)

• Useful in treatment of M.S., Alzheimer’s, cancer,

chronic fatigue, Parkinson’s symptoms.

• Depletions: Cholesterol agents, PPI, BP drugs,

antibiotics, blood thinners, anti-depressants,

diabetic drugs, cancer agents, HIV drugs

Omega 3 Fatty Acids

• A blend of natural oils from fish & algae

• Primary clinical use is cardiovascular

,support of BP, lower inflammation-CRP

• Used for brain health, mood and focus.

• Joint & bone health & comfort, hair & skin

health, GI, respiratory, and immune system.

• No more than 2,000mg/day with warfarin

Iodine

• Iodine is critical for the health of the thyroid

gland, that plays a part on many of the

body’s processes including growth & devel-

opment, body temperature, and metabolism.

• Dietary sources include iodized salt. kelp

• May increase performance, help keep an

ideal weight, cholesterol metabolism, and

general sense of vitality.

• Use in caution with Synthroid/levothroid

Antioxidants

Benefit your body by neutralizing free radicals.

Free radicals are unstable, short-lived molecules

that contain an unpaired electron in their outer

shell. They boost immune system, increase

oxygen to body (neutralize oxidative stress).

The most commonly known antioxidants are

Vitamin C, E, Beta Carotene, and Selenium.

Others include: quercetin, alpha lipoic acid, NAC,

lutein, melatonin, CoQ10, copper, lycopene,

manganese, carnosine, rutin, grape seed, soy, L-

glutathione, zinc and green tea.

Milk Thistle

• Principle constituent: Silymarin (seed), 70%

• Anti-oxidant, Cholagogue and Hepatoprotect

• Effective in Tx Liver diseases including

cirrhosis, hepatitis, jaundice, alcohol-induced

• Counteracts effects of acetaminophen overdose,

pesticides and heavy metals

• Also used in psoriasis, antiallergic, anti-

inflammatory, renal protection, varicose veins.

• Support detoxification via antioxidant activity.

• No drug interactions

Pycnogenol

• The SUPER anti-oxidant, listed as a

proanthocyanidin-bioflavonoid. Similar to grape

seed extract and red wine extract.

• An extract from French Maritime Pine Tree

• Protects against vascular rigidity, anti-

inflammatory, lowers histamine levels, improves

circulation, and tennis elbow.

• Encouraging research in Tx of ADHD, HIV,

cancer and natural killer cells

• Contraindicated with blood thinners, aspirin

Resveratrol

• A protective compound produced by grapes,

wine, cranberries, grape juice in response to

environmental stresses.

• It is a polyphenol, a natural antioxidant.

• It is also a phytoestrogen. It supports

women’s health during/after menopause.

• Helps support cardiovascular system, can

decrease stickiness of platelets, decreases

free radical damage.

Useful herbal products

• Saw palmetto- prostate, urinary frequency

• Echinacea- colds, flu, infections, WBCs

• Hawthorn- cardiac benefits, high BP, angina

• Ginkgo-vasodilator, tinnitus, vertigo, brain

• Garlic- lower chol/TG, lower BP, thrombic

• Licorice- ulcers, reflux, anti-inflammatory

• Ginger- antiemetic, arthritis, ulcers

What is the ETAscan?

• ETAscan is a BioEnergetic assessment,

visualization, and normalization device that

can aid the balance and return of the human

body to its natural form and function. ETA

scan provides powerful & useful

visualization of the energetic conditions of

the body’s physiology. Patients can see

where there are energetic blocks in their

body are, what the nature of the imbalances

may be.

How does the ETAscan work?

• ETAscan is based on the knowledge of

quantum effects on biological systems.

Every organ and cell has their own distinct

oscill-ation or wave frequency pattern

which is stored in the ETAscan memory

bank. Each graph represents the conditions

of the info exchange between the tissue and

the environment. The database is complied

for healthy tissue based on age and gender.

ETAscan

• Based on recognition of algorithims,

ETAscan can give indications of

unbalanced tissues, food sensitivities,

pollutants, allergies, bio-energetics,

hormonal balance, homeopathics, emotional

causes, pathology, parasites, micro-

organisms, and chakra imbalance.

• It displays similar matching wave functions

as predicting ascending order of importance

and occcurence.

Dr. Dan’s Blog

• Dr. Dan Wagner

• Wildwood Wellness LLC

• 2524 Wildwood Rd, PO Box 279

• Wildwood PA 15091

• 412-486-6263

• www.askdrdanwagner.info