Max Gerson - Gerson Therapy Handbook. Companion Workbook

5/20/2018 Max Gerson - Gerson Therapy Handbook. Companion Workbook

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Gerson Therapy HandbookCompanion workbook to "A Cancer Therapy: Results of Fifty

Cases"Practical guidance, resources, and recipes for following theGerson TherapyRevised Fifth Edition

Gerson Therapy Handbook Revised Fifth EditionISBN: 0-967 7526-4-A Companion to A Cancer Therapy: Results of Fifty Cases, by Max Gerson, M.D.! "99#-"999 The Gerson $nstitute% &ll 'ights 'eser(ed% The infor)ation contained in this *oo+ is *ased on original research,e)pirical o*ser(ation and other infor)ation de(eloped andor co)piled *y The Gerson $nstitute, its associated practitionersand researchers and on independent research andor e)pirical o*ser(ations conducted andor co)piled *y other indi(idualsandor organiations% The ad(ice and suggestions descri*ed herein should not under any circu)stances *e relied upon as thesole )eans of deter)ining appropriate treat)ent or inter(ention% The Gerson $nstitute, its staff, and au.iliary faculty do notprescri*e or reco))end treat)ent, and cannot *e held responsi*le or lia*le for the use or )isuse of any infor)ation contained

herein% The Gerson $nstitute has )ade e(ery effort to ensure the accuracy of the infor)ation contained herein, *ut cannotaccept any responsi*ility for errors, o)issions, )isstate)ents, or other erroneous infor)ation that )ay *e contained herein%Please notify us in writing of any deficiencies or discrepancies so that corrections )ay *e )ade in future editions%This *oo+ contains (alua*le, proprietary infor)ation de(eloped o(er )any years with considera*le e.pense and effort% Thereproduction, duplication, e.cerpting, or the storage andor retrie(al on any electronic or other syste) of infor)ation containedin this *oo+ is strictly prohi*ited without ad(ance written per)ission fro) the Gerson $nstitute%The na)es /a. Gerson,/ /Gerson,/ and /Gerson Therapy/ as associated with any )ethod or protocol for )edical or treat)ent

are worldwide trade)ar+s andor ser(ice )ar+s of the Gerson $nstitute% &ny use of the trade)ar+s andor ser(ice )ar+s *y any

person or entity )ust *e authoried in ad(ance, in writing, *y the Gerson $nstitute% 1nauthoried use is prohi*ited% iolators

are su*3ect to prosecution%

Introduction

Throughout our lives our bodies are being filled with a variety of disease and cancer causing pollutants. These

toxins reach us through the air we breathe, the food we eat, the medicines we take and the water we drink. Asmore of these poisons are used every day and cancer rates continue to climb, being able to turn to a proven,natural, detoxifying treatment like the Gerson Therapy is not only reassuring, but necessary.The Gerson Therapy is a powerful, natural treatment that boosts your body's own immune system to heal cancer,arthritis, heart disease, allergies, and many other degenerative diseases. One aspect of the Gerson Therapy thatsets it apart from most other treatment methods is its allencompassing nature. An abundance of nutrients fromthirteen fresh, organic !uices are consumed every day, providing your body with a superdose of en"ymes,minerals and nutrients. These substances then help the body to break down diseased tissues, while enemas aid ineliminating the lifelong buildup of toxins from the liver.#ith its wholebody approach to healing, the Gerson Therapy naturally reactivates your body's magnificentability to heal itself with no damaging sideeffects. Over $%% articles in respected medical literature, andthousands of people cured of their &incurable& diseases document the Gerson Therapy's effectiveness. TheGerson Therapy is one of the few treatments to have a % year history of success.

Although its philosophy of cleansing and reactivating the body is simple, the Gerson Therapy is a complexmethod of treatment re(uiring significant attention to detail. #hile many patients have made full recoveries

practicing the Gerson Therapy on their own, for best results, we encourage starting treatment at a Gerson)nstitutecertified treatment center.*ince the original publication ofA Cancer Therapy. Results of 50 Cases in +-, many developments have taken

place in the medical world, including the widespread use of /toxic0 chemotherapy, the standardi"ation of heartlung and liver transplants and a rising incidence of cancer in well over a third of our population. At the sametime, we have witnessed the emergence of a host of new and often &unexplainable& chronic diseases, such as12* /1hronic 2atigue *yndrome0, lupus /*340, 3egionnaire's disease, A)5*, osteoporosis, and Al"heimer's.As conventional medicine unearths more clues about the nature of chronic, degenerative disease, evidence hasincreasingly pointed toward the scientific validity of 5r Gerson's principles. 6irtually all research that has beendone in the area of nutrition in the past -% years has tended to confirm 5r Gerson's empirical findings. Thiscomes as no surprise to us. #here traditional treatments have failed, we have found that both old and new

illnesses alike have proven remarkably susceptible to treatment with the Gerson Therapy.



#hether you intend to beat your &incurable& disease at home or at a Gerson certified clinic, this Gerson Therapyan!book is intended as a userfriendly companion guide to the deservedly more famous but more technical ACancer Therapy: Results of 50 Cases by 7ax Gerson, 7.5. The latter book contains, in a remarkablycondensed form, the accumulated wisdom of -% years of clinical experimentation in 4urope and the 8nited*tates by 5r Gerson, who counted heads of state and at least one 9obel laureate among his cured patients. )f you

plan to undertake the Gerson Therapy we suggest you read both volumes as they work together to provide you

with the information you need to begin and maintain the Gerson healing process.The Gerson Therapy an!book has been organi"ed so that you can find answers (uickly and begin the healing

process immediately. )n the following chapters you will find everything you need to know about the Gersonprotocol, from !uicing schedules and enema formulas, to the interpretation of lab results. This Gerson Therapyan!book will alert you to crucial healing reactions and it will explain several ad!uvant therapies that you maypursue in con!unction with the Gerson Therapy. #e have also selected some important articles from issues of theGerson :ealing 9ewsletter that discuss coffee enemas, pesticides and the merits of organic food in greaterdetail.As you face perhaps the greatest challenge of your life we would like to reassure you that there is both hope andan alternative to the so called cures of traditional medicine. )f you have any (uestions after reading this GersonTherapy an!book that remain unanswered, please do not hesitate to contact our staff at the Gerson )nstitute.#e wish you well.

The Gerson nstit!teThe Gerson )nstitute /a.k.a. 1ancer 1uring *ociety0 is a nonprofit organi"ation dedicated to healing and

preventing chronic, degenerative diseases based on the vision, philosophy and the successful work of 5r 7axGerson.2ounded in +; by 1harlotte Gerson /daughter of 5r Gerson0 the Gerson )nstitute provides a range of

programs designed to inform and educate the general public and health care practitioners about the bene fits ofthe Gerson Therapy.#hether you are interested in an alternative treatment for your &incurable& disease, or simply wish to adopt ahealthier lifestyle for yourself and your family, the Gerson )nstitute can help.1ontact our offices by telephone, fax, email or via the internet to find out more about these and other programsthat are offered by the Gerson )nstitutelease contact the Gerson )nstitute for current information.

Max Gerson, M.D. and the Gerson Therapy

7ax Gerson, 7.5. was born October +, ++ in #ongrowit", Germany. :e attended the universities of?reslau, #uer"burg and ?erlin, eventually graduating from the 8niversity of 2reiburg. *uffering from severemigraines, 5r 7ax Gerson focused his initial dietary experiments on preventing these debilitating headaches. )twas discovered in the course of treatment with this special &migraine diet&, that one of 5r Gerson's patients wascured of his skin tuberculosis. This discovery led to further studies of the diet, and to 5r Gerson successfullytreating many more tuberculosis patients.After some time, his work came to the attention of famed thoracic surgeon, 2erdinand *auerbruch, 7.5. #ith

the help and supervision of 5r *auerbruch, Gerson established a skin tuberculosis treatment program at the7unich 8niversity :ospital. )n a carefully monitored clinical trial, @@ out of @-% skin tuberculosis patientstreated with Gerson's dietary regimen, experienced complete recoveries. 5r *auerbruch and 5r Gerson



simultaneously published articles on the study in a do"en of the world's leading medical !ournals, establishingthe Gerson treatment as the first cure for skin tuberculosis.Through his work with tuberculosis, 5r Gerson attracted the friendship of 9obel >eace >ri"e recipient, Albert*chweit"er, 7.5. At the time, 5r *chweit"er's interest in Gerson was prompted by conventional methods havingfailed to cure his wife, :elene *chweit"er?resslau /+;+-;0, of lung tuberculosis. )n +%, after sufferingher tuberculosis for seven years, :elene was admitted to 5r Gerson's clinic and cured after months. The two

doctors shared a good friendship for the rest of their lives. )t came to pass that even *chweit"er's own advanced/Type ))0 diabetes was cured by Gerson's nutritional therapy. *chweit"er followed Gerson's progress over theyears, seeing the dietary therapy successfully applied further to heart disease, kidney failure, and then finally cancer.To escape Adolf :itler's reign in 4urope, 5r Gerson moved with his family to America, where they took upresidence in 9ew Bork. )n +, 5r Gerson passed his medical boards and was then licensed to practicemedicine in the state of 9ew Bork. 2or twenty years, he treated hundreds of cancer patients who had been givenup to die after all conventional treatments had failed. )n +@, 5r Gerson demonstrated some of these recovered

patients before the >epper9eely 1ongressional *ubcommittee. The committee was holding hearings on a bill tofund research into cancer treatment. Although only a handful of peerreviewed !ournals were receptive toGerson's then &radical& idea of diet affecting health, he continued publishing articles on his therapy in 4uropeand presenting case histories of his healed patients. )n +-, after thirty years of clinical experimentation,Gerson published A Cancer Therapy: Results of Fifty Cases. This medical monograph details the theories,

treatment, and results achieved by a great physician. )n +- 5r 7ax Gerson died.)t was -% years ago that 5r Gerson promoted better health through nutrition. Although ridiculed in his time,today, we are shown proof in countless articles and studies, that he was merely ahead of his time. As better diet

proves to be the answer to healing more and more of our health problems, the words of 5r Gerson's good friendcarry a deeply prophetic ring.&) see in him one of the most eminent geniuses in the history of medicine. 7any of his basic ideas have beenadopted without having his name connected with them. Bet, he has achieved more than seemed possible underadverse conditions. :e leaves a legacy which commands attention and which will assure him his due place.Those whom he has cured will now attest to the truth of his ideas.&- :o*el Prie aureate and healed Gerson patient, Ar &l*ert chweiter, in eulogy of a. Gerson, %A%

The Gerson Therapy

The Gerson Therapy is a state of the art, contemporary, holistic and natural treatment which utili"es the body'sown healing mechanism in the treatment and cure of chronic debilitating illness. #hen it was introduced to theworld by 7ax Gerson, 7.5., the dietary therapy was so far ahead of its time that there were almost no rationalesavailable in the scientific literature to explain how it could produce cures in chronic as well as infectiousdiseases. ?ut, because it did cure many cases of advanced tuberculosis, heart disease, cancer and numerouslesser conditions, the Gerson Therapy was established as a ma!or contribution to the medical field, through the

publication of hundreds of articles in peer reviewed medical literature. Gerson first published on the topic ofcancer in +@-, almost forty years before the adoption of the current official 8.*. 9ational 1ancer )nstitute pro gram on diet, nutrition, and cancer. Today, leaders in the medical establishment predict a -%C reduction incancers by the year $%%% through educating the public in dietary methods of preventing cancer.)t is rare to find cancer, arthritis, or other degenerative diseases in cultures considered &primitive& by #esterncivili"ation. )s it because of dietD The fact that degenerative diseases appear in these cultures only when modern

packaged foods and additives are introduced would certainly support that idea. 7ax Gerson said &*tay close to

nature and its eternal laws will protect you.& :e considered that degenerative diseases were brought on by toxic,degraded food, water and air.The Gerson Therapy seeks to regenerate the body to health, supporting each important metabolic re(uirement byflooding the body with nutrients from almost $% pounds of organically grown fruits and vegetables daily. 7ostis used to make fresh raw !uice, one glass every hour, + times per day. Eaw and cooked solid foods aregenerously consumed. Oxygenation is usually more than doubled, as oxygen deficiency in the blood contributesto many degenerative diseases. The metabolism is also stimulated through the addition of thyroid, potassium andother supplements, and by avoiding heavy animal fats, excess protein, sodium and other toxins.5egenerative diseases render the body increasingly unable to excrete waste materials ade(uately, commonlyresulting in liver and kidney failure. To prevent this, the Gerson Therapy uses intensive detoxification toeliminate wastes, regenerate the liver, reactivate the immune system and restore the body's essential defenses en"yme, mineral and hormone systems. #ith generous, high(uality nutrition, increased oxygen availability,detoxification, and improved metabolism, the cells and the body can regenerate, become healthy and prevent

future illness.



Dr Patricia Spain Ward,

History of the Gerson Therapy, 19

)t is one of the least edifying facts of recent American medical history that the profession's leadership so long

neglected as (uackish the idea that nutrition affects health #$A%A +@, +@, +;;F *himkin, +;0. )gnoringboth the empirical dietary wisdom that pervaded western medicine from the pre1hristian :ippocratic era untilthe late nineteenth century and a persuasive body of modern research in nutritional biochemistry, the politicallyminded spokesmen of organi"ed medicine in the 8.*. remained long committed to surgery and radiation as thesole acceptable treatments for cancer. This commitment persisted, even after sound epidemiological data showedthat early detection and removal of malignant tumors did not &cure& most kinds of cancer /1rile, +-F updated

by 1airns, +-0.The historical record shows that progress lagged especially in cancer immunotherapy including nutrition andhyperthermia because power over professional affiliation and publication /and hence over practice andresearch0 rested with men who were neither scholars nor practitioners nor researchers themselves, and who wereoften une(uipped to grasp the rapidly evolving complexities of the sciences underlying midtwentieth centurymedicine.

9owhere is this maladaptation of professional structure to medicine's changing scientific content more tragically

illustrated than in the American experience of 7ax ?. Gerson /+++-0, founder of the bestknownnutritional treatment for cancer of the premacrobiotic era. A scholar's scholar and a superlative observer ofclinical phenomena, Gerson was a product of the German medical education which Americans in the late +thand early $%th centuries considered so superior to our own that all who could afford it went to Germany to

perfect their training /?onnier, +0.As a medical graduate of the 8niversity of 2reiburg in +%, Gerson imbibed all of the latest in scientificmedicine, with the emphasis on specificity which bacteriology had brought into #estern medical thought in the

preceding decades. Gerson subse(uently worked with leading German specialists in internal medicine, inphysiological chemistry, and in neurology /8.*. 1ongress, +@, 0. The historical record does not tell uswhether his medical education in Germany /where much of the early work in nutritional chemistry took place0included a study of diet, a sub!ect neglected in American medical schools after the germ theory gainedacceptance.#e do know that by ++, when Gerson set up a practice in internal and nervous diseases in ?ielefeld, he had

devised an effective dietary treatment for the migraine headaches which fre(uently disabled him, despite thebest efforts of his colleagues. )n +$%, while treating migraine patients by this saltfree vegetarian diet, hediscovered that it was also effective in lupus vulgaris /tuberculosis at the skin, then considered incurable0 and,later, in arthritis as well /8.*. 1ongress, +@, 0.Trained in the theories of specific disease causation and treatment that began to dominate western medicine forthe first time in history as bacteriological discoveries multiplied in the late nineteenth century, Gerson was atfirst uneasy about using a single therapy in such seemingly disparate conditions. ?ut he was committed to the

primacy of clinical evidence, which he liked to express in ussmaul's dictum< &The result at the sickbed isdecisive& /(uoted in Gerson, +-, $+$0.- Ar Patricia pain ard, History of the Gerson Therapy, "9%

!hapter 1" Procedures #sed Whi$e in the Hospita$

%ne&asGetting started2ollowing admission, under physicians orders, you should have been issuedlastic enema bucket with plastic hoseH Iar of coffeeH 5istilled water dispenserH >ad to place under you while taking enemasH 6aselineH :otplate

!o''ee %ne&as



()e'erence"A Cancer Therapy: Results of Fifty Cases, pp. 19*, +-. Timing and fre(uency of enemas willvary throughout the entirety of your therapy. Bour physician will instruct you and answer (uestions concerninguse of coffee enemas.

He$p'u$ Hints"

B &lways +eep the pot with the distilled water on the war)er% $t will not *oil and will always *e ready%B $f your *uc+et;s plastic hose *eco)es +in+ed, run a s)all a)ount of hot water through it to soften it%

General Procedure for offee @ne)asThe coffee solution should be used at body temperature. Eun a little of the solution through the tube into thetoilet to warm the tube and get rid of the airF close the stopcock. 3ubricate rectal or enema tube for about $& atend with petroleum !elly. :ang the enema bucket not more than two feet above you. 3ying on your right side,draw both legs close to the abdomen, relax and breathe deeply.)nsert the tube into your rectum -& to &. Open the stopcock and allow fluid to run in very slowly to avoidcramping. Eetain the solution for +$+- minutes.)f you have trouble retaining or taking in the full $ o"., lower the bucketF if you feel spasms, lower the bucketto the floor to allow the flow to back up a bit to relieve the pressure. After +$$% seconds, slowly start raising the

bucket toward its original level. Bou can also control the flow of solution by pinching the tube with your fingersor ad!usting the plastic ring in a partially closed position. Bou will (uickly learn what works best for you.

Ceep your eDuip)ent cleanE5on't place the tube back into the bucket until after you have thoroughly cleaned both the tube and the bucket.8se a biodegradable, fooduse detergent andJor hydrogen peroxide and rinse well. Einse at least once a day withhydrogen peroxide C. The bucket and the tube are very good growing grounds for bacteria.

8reDuency of @ne)as2re(uency of enemas is increased with symptoms of toxicity such as headache, fever, nausea, intestinal spasmsand drowsiness. 8pon awakening in the morning if headache and drowsiness are experienced, an additionalenema is recommended during the following night.

:ourish first - then deto.ify%As a general rule, eat some raw or steamed fruit before your first coffee enema of the day to activate the upperdigestive tract. A small piece of fruit is sufficient. This rule applies whenever considerable time has elapsedsince the last meal, !uice or snack.

:elpful hints

ital sign records$t is i)portant to learn to +eep records of your own (ital signs =te)perature and pulse>% Four pulse and te)perature should *eta+en daily *efore you get out of *ed and )o(e a*out% Ceep the ther)o)eter right ne.t to your *ed% $f your pulse should near"20)in, the thyroid dosage )ay need to *e reduced% &n increase in te)perature can *e a sign of an i)pending /flare-up%/

Ceep food in your roo)

B & fruit plate is deli(ered to your roo) daily% Please as+ for )ore if you need it%B Ceep ther)oses of hot pepper)int tea prepared =especially at night>%B Aon;t drin+ water that )ay co)pete with the 3uices%B a(e enough coffee in your roo) to ta+e ene)as during the night and in the early )orning *efore *rea+fast%

!astor /i$ Treat&entastor oil *y )outh/Eeference



/Eeference



/halfstrength0 5osage /first @ weeks only0< drops in each of orange and carrotJapple !uices /x daily0. Donot put :uo$;s in reen and "2I"#y in$ection): 5osage< cc liver and %.+ cc ?+$combined in a single syringe, in!ected into gluteus medius daily,for @ months or more. The physician will normally reduce fre(uency gradually over the course of therapy (pp.*5+, 192, +1*5+11, +0, +*, +2, 090, *-, *9, 11, 1+ o'A Cancer Therapy: Results of Fifty Cases).

offee @ne)asI(p. +- o'A Cancer Therapy: Results of Fifty Cases) & 5osage /first weeks minimum0< #hile lying on right

side, retain for +$+- minutes 464EB 2O8E :O8E*. 2or limited periods of time, against severe pain, coffeeenemas may be used as fre(uently as every two hours. :owever, physician must monitor serum electrolytesfre(uently.

astor oilI5osage< $ Tbsp. by mouth and five hours later a castor oil and soap enema (p. +- o'A Cancer Therapy:

Results of Fifty Cases) 464EB OT:4E 5AB. 3ater, as necessary or as prescribed, (pp. 1, 122, 19*519, 19,+*15+*0. +*2. +0, 090, *251*, 1251 o'A Cancer Therapy: Results of Fifty Cases).

TestsI?lood 1hemistry, 1omplete ?lood 1ount, T, T@, 8rinalysis All tests should be taken before beginningtreatment and at @ week intervals for at least the first months. Test results may be affected by healingreactions and flareups (pp. +0, 1 o' A Cancer Therapy: Results of Fifty Cases). "%ee Appen&i' (: a#Tests, for a *ore in &epth &escription of tests, +g. ). ote: 'lease mail or fa( copies of all bloo! work to

your Gerson consultin) physician.&ll other edicationsI5o not abruptly discontinue any medications you are taking prior to using the Gerson Therapy. )n certain cases,Gerson trained physicians will advise gradual discontinuance.

ita)in =&scor*ic &cid>This substance is employed in the Gerson Therapy during infections. A crystalline /powdered0 form such as?ronson's is preferred. The Gerson diet contains large amounts of natural 6itamin 1, so routine dailysupplementation should not be necessary.

ee pollenIThis is an addition to the Gerson program that can be employed in cancer from about the tenth to twelfth week.

9oncancer patients can start earlier, about the sixth week. *ome patients may have allergies to bee pollen. Theinitial dosage is +J$ tsp. per day.

i(er 3uiceI

3iver Iuice has been discontinued. *ubstitute< 1arrot !uice plus $ liver capsules for each liver !uice. ()e'erence,3 !ancer Therapy" )esu$ts o' 7i'ty5!ases, 3ppendix III, p. +1



3dallares,a noted 7exico 1ity cardiologist and researcher. :e was formerly director of the 7exican 7edical Associationand the 9ational )nstitute of 1ardiology of 7exico 1ity. :e is the author of several books and many articles oncardiology. :e places nutrition in its proper role for prevention and treatment of disease.The basic >olari"ing solution /G)0 can be found in %erck*s %anual of +tan!ar! %e!ical 'roce!ures astandard medical text. *odi>allares found that in many patients who are deficient in potassium, it is necessaryto provide a transport mechanism to help potassium travel through the cell membrane. :e achieved this by usinga potassium solution /0 together with glucose /G0 and a tiny bit of insulin /)0 which is given togetherintravenously.>olari"ing treatment promotes healing in the diseased heart, and in tissues damaged by cancer and other

degenerative diseases. >atients with edema /excess fluids in feet, abdomen0 note a rapid reabsorption and releaseof the fluids from the body.

reliminary clinical studies indicate that oxidative therapy might produce desirable results in cancer treatment.7ost hostile microorganisms probably re(uire lower oxygen levels than the body's cells. ?oosting serumoxygen levels may revitali"e normal cells while damaging some viruses and other pathogens. Two basic types ofoxygen therapy are o"one therapy and the absorption of hydrogen peroxide at very low concentrations.:ydrogen peroxide /:$%$0, is produced when o"one /%0 contacts water. )t can be taken orally if diluted withwater /+J$C or less0, absorbed through the skin by bathing in it /from @- pints of C : $%$in a standard si"e

bathtub0, used topically, or taken rectally. Ambient air o"one generators are used to benefit patients. )n additionto the intensive Gerson Therapy, some ad!uvant procedures are being made available to patients. These arescientifically based additions to the Gerson Therapy to add to the patients' ability to heal. >atients should discussthese additions to their treatment with their Gerson physician. Also extra charges will apply, conse(uently please

check with the hospital office.

3dhagocytic leukocytes /white blood corpuscles0 are the first and most important line of defense againstinfection. )n the daily care of patients, physicians and surgeons usually assume that granulocyte function isnormal unless they have evidence to the contrary. :owever, data now clearly show that the killing capacity ofgranulocytes is normal only to the degree to which oxygen is available to them. This is probably the basis for theageold observation that local immunity is proportional to blood supply.

9ormally, leukocytes move and digest bacteria e(ually well by using anaerobically or aerobically derivedenergy. :owever, the capacity of leukocytes to kill bacteria depends largely on molecular oxygen. ?acterialkilling is usually conceived of as comprising two ma!or components. The first involves degranulation andingestion of the bacteria. The second mechanism, called &oxidative killing,& depends on molecular oxygen,



which is captured by leukocytes and converted to highenergy radicals such as superoxide, hydroxyl radicals,peroxides, aldehydes, hypochlorite and hypoiodite which are toxic to bacteria in varying degrees. The rate ofproduction of toxic radicals and hence the ade(uacy of oxidative bacterial killing is directly proportional tolocal oxygen tension.The 'o$$o>in oranis&s ha=e been 'ound direct$y susceptib$e to oxidati=e ki$$in"

*taph aureus :ohn, *urg 2orum, +;

>roteus vulgaris 7andel G., )nfec )mmun,+;@

*almonellatyphimurium

7andel G., )nfec )mmun,+;@

lebsiella pneumonia 7andel G., )nfec )mmun,+;@

*erratia marcescens 7andel G., )nfec )mmun,+;@

*taph albus 7cEipley EI, I ?act,

+;>seudomonasaeruginosa

7cEipley >I, I ?act,+;

4schericha coli *elvera! 9I, 9ature, +%

!onc$usions"B ell-o.ygenated leu+ocytes are far )ore efficient than hypo.ic leu+ocytes%B linically, sufficient hypo.ia can occur to inhi*it leu+ocytes and sufficient hypero.ia can easily *e achie(ed to facilitate function%B The i))unological *enefits of raising tissue pJ out of the /critical one/ is roughly eDui(alent to the effects of anti*iotics%

B The effects of o.ygen and anti*iotics are eDui(alent%

These experiments show that oxygen effects are not only clinically evident, but are clinically important. /Theabove was taken from the notes of the #inter *ymposium on ?aromedicine, Ianuary +$+-, +@, by Eobert?artlett, 75, 2A14>0.

IAnother treatment which has been used for a number of years is 3aetrile. This material is present in as many as$,@%% common foods, grains and grasses. 2or medicinal purposes, it is extracted mainly from apricot pits. )tcontains a fraction which helps the body to destroy tumor tissue but is harmless to normal cells. )t has been

shown that 3aetrile, when given to cancer patients, increases the temperature around the tumor part of itscapability of fighting cancer.

ydrotherapyI2or this treatment, the patient is immersed in a bathtub containing water above body temperature. This willcause a mild induced fever. #hen 3aetrile has already been in!ected prior to the bath, the temperature at thetumor site is further increased which gives the body a still better opportunity to destroy the tumor tissue. 9ormalhealthy body tissue can easily withstand temperatures up to +%@K 2, however tumor tissue cannot.

ita)in I6itamin 1 is another addition to the ad!unctive treatment protocols. )t has numerous beneficial effects. )t can beused orally and rectally. One protocol uses 3aetrile and 6itamin 1 for the treatment of patients that have

previously had chemotherapy.

o*e ugosIThese are highly concentrated pancreatic en"ymes. The basic Gerson Therapy contains a fair amount of

pancreatin. This helps to dissolve and digest tumor tissue. )n some patients, especially if they carry a heavy



tumor load, the additional intensive pancreatin /#obe7ugos0 has improved the patient's ability to digest anddestroy tumor tissue.

Tahe*o Tea =also +nown as Pau d;&rco> and @ssiac TeaIThese are certain herb combinations which have been used by native )ndians of the Americas and have beenshown to have anticancer properties. These teas may be available at your Gerson hospital.

i(e ell TherapyIThis therapy is much more effective after good detoxification and should not be tried during the initial stages ofGerson Therapy. )t may be available on re(uest from your Gerson Therapy facility.

3d



system. 2or instance, heat over the abdominal wall decreases spasms of the intestinal tractF heat over kidneysand lower abdomen increases urine production.The treatments are nontoxic and safe. 1ontraindications may be seen in patients with multiple sclerosis /coldhydrotherapy is more beneficial0, diabetes, high blood pressure, heart and vascular diseases. These patients willneed prior medical review.2or the cancer patient there is an additional important benefit in the hot water treatments. 7any types of cancer

cells are much more sensitive to heat than are normal cells. )f temperatures can be raised high enough /+%@K 2 ormore0 and long enough, death of cancer cells may result. Eesearch has shown that following intravenous orrectal application of laetrile there may be a temperature increase in the tumor mass of @K-K 2. #hen thislocali"ed increase is added to total body hyperthermia many benefits have been noted, including tumorshrinkage and stimulation of detoxification.

8eep records o' a$$ procedures, inc$udin date, ti&e, and

reactions"yperther)ia treat)ent ot tu* *ath Procedure

2ull treatments should not be taken during healing reactions, though relaxing baths at lower temperatures areallowed. >atients will need to have a medical examination and 4G in preparation. The accompanying person isinvited to attend the treatments to observe the procedures so they can be continued in the home environment. /onot use chlorinate& !ater for this treat*ent.

Preparing for and 1ndergoing ydrotherapy1. Don;t eat" >atient should eat nothing for @ hours before treatment. 3i(uids L!uices, tea, etc.0 can be continued. )f the patient is scheduled soon after a meal, only a light meal may be taken.+. !o''ee ene&a" One hour before scheduled treatment a coffee enema is taken.. Sho>er" At this time a thorough cleansing shower is to be taken.. :aetri$e treat&ent" Those patients taking laetrile will have it applied +- minutes before the scheduledtreatment.. Herb tea" +- minutes before the treatment a cup of hot herb tea is given.2. ?athin suit" 8pon arrival in the department the patient changes into a bathing suit.;. Tub" 2rom the hot shower, the patient goes to the tub. The tub is entered slowly, submerging until theshoulders are covered and a comfortable position found.. Tea" A second cup of herbal tea is taken upon entering the tub.9. !o=er head >ith to>e$" The head will be covered by a towel to limit heat loss.1*. Monitor te&perature and pu$se" Temperature and pulse will be monitored fre(uently as the bodytemperature increases.++. )e$ax" The patient is encouraged to relax. As the temperature increases, breathing exercises are used, e.g.er" #hen the patient returns to his room, a lukewarm shower should be used to further assist inwashing off the skin. A restful afternoon is indicated. 7any patients sleep for several hours following treatment.Eegular meals and !uices need not be interrupted.

I&portant Points To ?e /bser=ed With 3$$ Hydrotherapy

Treat&ents"B The roo) should *e war) and free of drafts%B Protect *edding, furniture, rugs, etc% with waterproof sheets%B &sse)*le upplies *efore starting procedures%B 1se care when adding hot or cold water% &(oid chilling% Patient should *e dry and war) after treat)ent%

C"ay po!"ti#e



AefinitionIA soft composition, usually heated and spread on a cloth, and applied to a sore or inflamed part of the body.

@ffectsI1lay powder has an adsorptive effect like that of charcoal and aids detoxification.

$ndicationsI5iarrhea, poison, gastrointestinal problems, inflammation, insect bites, swellings from arthritis, pain.

Procedure"% Prepare enough war) water to )i. needed a)ount of clay powder into a paste%2% &pply Duic+ly to sDuare of clean )uslin to pre(ent cooling%#% Place on area to *e treated%4% o(er with plastic and wool cloth%5% Pin in place% ea(e on o(ernight or until dry%6% 'e)o(e - ru* cold wet cloth o(er part%7% 'epeat as needed%

!hapter +" Goin Ho&e, The Gerson Househo$d

7o$$o>5up &edica$ care and $aboratory &onitorin

7edical consultations and the monitoring of laboratory studies are of utmost importance. Through this means,the Gerson physician can be kept up to date as he assists the patient in ad!usting the various medications and thediet, and evaluating the body's response to the therapy. 1ontinued communication with the Gerson physicianalso keeps the patient abreast of advances in the Gerson program.7edical guidance is provided to the Gerson patient through your Gerson hospital's consulting office. Telephoneand fax numbers will be provided through the hospital office.

ote: Time !oes not usually allow correspon!ence in writin) re)ar!in) test result information. 'lease use the

telephone consultation pro)ram.

$aboratory monitorin%7onitoring of blood and urine values on a continual basis is important. These laboratory tests should berepeated about every six weeks, depending upon the severity of the disease process. )n the early stages with thedebilitated patient, every four weeks is recommended. ?efore you leave the Gerson hospital your doctor willsuggest a time for your next tests to be done. 1opies of results should be sent to your Gerson consulting doctor.

These la*oratory studies )ust includeI"% o)plete *lood count => with differential2% lood che)istry panel =&-24 or &-2", etc%>#% &nalysis of urine =1&>

These studies are monitored primarily to screen for possible infections, determine time to introduce the dairyproteins, and evaluate general organ functions such as kidney, liver and pancreas.A single laboratory result is not definitive. A series of three results may show a trend. Eoutine laboratory studieshave been shown not to be valid during or !ust after a healing reaction. The chemistry of the blood can be alteredduring the healing reaction. #ait at least seven to ten days after the healing reaction has cleared to have newlaboratory tests done.

&!tpatient fo""o'(!p #he#k"istApproximately five weeks after you arrive home, have the following blood and urine work done

Medication supp$iesEe(uired items for month supply *everal days in advance of departure, please arrange with the hospitaloffice for your order. >lease take inventory of items before departure.



+ )tem Mty. 5escription

*yringes % cc with $$ or $ gaugeN needle x +&

9eedles % $- gauge x +&

1rude 3iver $; +%cc bottles forin!ection

6it. ?+$ %cc bottle for in!ection

Thyroid grain /$.@ mg0,+%%% count tabs

3ugol's bottle of +J$strength 3ugol'ssolution

>enicillin bottle of +%% tablets

>otassium1ompound

+$ bottles, +%% grams each

>otassiumGluconate

bottle

Acidol - bottles of +%% caps each

9iacin bottle of +%%% tabs, -%mg. each

>ancreatin bottle of +%%% caps, $-mg. each

3iver 1aps bottle of +%%% caps, -%%mg. each

Ox?ile bottle

)on 7in bottle ion 7in 1laypowder

4nema ?uckets $ extra enema buckets

1astor Oil pint

1astile *oap bar of soap

2laxseed Oil bottles

2oley 2ood 7ill + two (uart si"e

9onre(uired but recommended itemsA9A, ?ox +%;, Greenfield, 7A, 1*0*1, /@+0 ;;@;-++. Ask them for the names, addresses, and

phone numbers of the organi"ations in your area /O1)A, 11O2, T)3T:, etc.0 Ask about distributors, growers,and possible retailers.Order the -r)anic holesaler*s /irectory An! earbook from 1ommunity Alliance with 2amily 2armers. )t hasan indepth list of organic wholesalers by *tate. Once you contact the wholesalers, you can learn who theirretailers are. Bou can contact them at ?ox @@, 5avis, 1A -+;, /+0;--+.Americans 2or *afe 2ood, 1enter for *cience in the >ublic )nterest has an organics mail order list available,should you need to order organic produce through the mail. Bou can contact them at +;- 1onnecticut Ave 9#,*uite %%, #ashington, 51 $%%%, Tel< /$%$0 $++%, 2ax< /$%$0 $- @-@,Get certi'ication@ )f produce is not clearly marked with a printed label, it is probably not organic. 5emand

proof.

/ranic co''ee in'or&ation



)t is !ust as important to use organic coffee as to use organic fruits and vegetables. )f organic coffee is not used,any toxic material in the coffee such as pesticides, herbicides, fungicides, or chemical fertili"er will be readilyabsorbed rectally direct into the blood system. :arbor :ouse 1offee /Organic 1offee0, +$- 7oothi$$ ?$=d.,?ox +;, 1learlake Oaks, 1A -@$. Telephone /;%;0 @-@, Tollfree< +%$.

The Gerson househo$d" kitchen supp$iesThe following checklist will be found useful in arranging a household to accommodate the Gerson patient. 7ostitems may be purchased locally at a general department store, health food store or gourmet shop.

WaterGerson patients need pure water, especially for coffee enemas. 7ost cities have bottled water businesses thatdeliver purified and distilled water to homes. #ater can also be purified at home with reasonably pricede(uipment that may be purchased or rented.#ater purification e(uipment is everywhere now. Bou can get reverse osmosis units, distillers, carbon filters andmore from !ust about anyone. >eople go door to door selling all sorts, si"es and combinations. 2luoride can only

be removed by distillation. Bou should only use reverse osmosis if your tap water is not fluoridated.

ard*all sales pitch7aybe you've seen the guy who takes a glass of your regular tap water and tests it with a &special chemical& thatcauses gobs of white grungy looking stuff to appear and settle to the bottom. 9ow he informs you that you canget all that poison out with a carbon filter, and he proves it by filtering your water and repeating the test. 6oila

9o grunge.)n a well researched article in their Consumer Reports: 1223 4uyin) Gui!e ssue 1onsumers 8nion /180 staffmembers explained that the &special chemical& is doubtless a flocculating agent that causes harmless minerals inwater to precipitate. 8nscrupulous sellers use this bogus water test to convince potential buyers of theunpotability of tap water in their homes.

1nsafe tap water

)n fact, your tap water may be teeming with ha"ards, none of which would be recogni"ed by such a &test.&According to 18 writers, there are more than ;%,%%% recogni"ed water contaminants ranging from industrial oragricultural wastes to heavy metals and radon. 7icrobes are also known to flow from the household tap. )f yourmunicipal water supply is fluoridated, it is imperative that you use distilled water for all patient intake< soup,cooking, teas and coffee for enemas and drinking after castor oil.

a*s that test water2or the Gerson household, it is probably unnecessary to carry out lab tests for contaminants because of thedemand for really pure water. :owever, friends and relatives interested in water (uality issues may wish to useone of these 18 listed labsages and most offer a filtration service.The Aua$ity o' tap >ater a$&ost e=ery>here, is $ess than acceptab$e 'or the Gerson Therapy. 7ortunate$y,

puri'ication units are a=ai$ab$e, a''ordab$e, and e''ecti=e.

Schedu$e 'or the dayThe following is an example of one way to arrange your schedule to do the Gerson Therapy at home. Thisschedule was set up for a regular day on full therapy including + !uices and - coffee enemas. #hoever is doingthe kitchen work should allow about +%+- minutes to prepare a !uice and to clean up the !uicer, so start making

the !uices about +- minutes before the hour. Iuices are followed in this list by the medications /in parentheses0which may be added. >lease do not exceed daily total medication levels prescribed by your physicians.Gettin oraniCed

)f at all possible, have someone at home organi"e things before you leave the Gerson hospital. They will needtoin instructions on pae 191 o'A Cancer Therapy: Results of Fifty Cases, or see pae

19 in this handbook.

ha)o)ile Tea @ne)aI8se full strength and according to your doctor's advice. Eetain the tea enema for about five minutes. Afterrelease, immediately start the coffee enema. )n severe problems, chamomile concentrate can be added to allcoffee enemas.

)ecipe" !ha&o&i$e %ne&a, Sin$eB 4 T*sp% ha)o)ile flowers , driedB " Kuart distilled water

oil 5 )inutes, and strain%

1se when cooled to *ody tern perature%

)ecipe" !ha&o&i$e !oncentrateB " up ha)o)ile flowers, driedB 2 ups distilled wateri))er "0 )inutes in co(ered saucepan% train and press cha)o)ile flowers to e.trude fluid% $f so)e has *oiled away, adddistilled water to )a+e " pint% *tora%e) Ceep in co(ered glass *ottle no longer than # days% To +se) Pour 4 o% concentrate intoene)a *uc+et and fill with distilled water% Re#ipe makes eno!%h #on#entrate for enemas.

7-T8: +ome confusion has e(iste! because of an apparent contra!iction between chamomile enema instructions on pa)e

129 an! pa)e 39 of Gerson*s A Cancer Therapy: Results of Fifty Cases. Actually the recipes are consistent. 'a)e 129

inclu!es instructions for use of a chamomile concentrate as well as !irections for preparation of a sin)le !ose. 'a)e 39contains instructions for both preparation an! use of chamomile concentrate . n both cases the ratio of chamomile flowers

#in tablespoons; to total ounces of water will be the same: 9 Tbsp. < =3 o>. enema.

'lease un!erstan! that the concentrate is prepare! by usin) 1 Tbsp. of chamomile flowers for each ounce of water: one cup

#1? Tbsp.; chamomile flowers boile! in 1 pint #1? o>; water makes four !oses. Gerson*s ")lass" e@uals o> ,ust as with

your ,uices. -ne half )lass e@uals 9 o>.

%ne&a ProcedureAefinitionIAn enema by definition, is the introduction of solutions into the rectum and colon in order to stimulate bowel activity and to

cause emptying of the lower intestine.1offee enemas should be administered by having the patient lie on the right side.

To connect bucket, tube and connector"

The enema bucket comes with a clear plastic hose which has a hole at the front and one on the side. Bou cut offthe tip to eliminate the side opening.Bou order a small plastic connector plus a soft rubber tube /catheter0 both available from *TAT. *.A. >ut oneend of the connector onto the cut end of the plastic enema tube< the other end into the wide opening of therubber catheter.

*ome patients find it difficult to retain $ o". of the li(uid, you may want to start with $@ o". and later, slowlyincrease the amount of fluid.?efore you start your coffee enema, eat a small piece of fruit to activate the gastric tract )f enema is taken on anempty stomach, some people may experience problems.

ote:%ore information on enemas is a6ailable in A 1ancer Therapy< Eesults of 2ifty 1ases on pa)es 121 an!39 an! in Gerson :ealing 9ewsletter Bol. 10 7o. 9 p). ? an! Gerson ealin) 7ewsletter 1= p). 1.



%ne&a )eactions and )e&edies$ntestinal pas)s and ra)pingIThese fre(uently painful symptoms are caused by strong irritation to the intestinal tract and lead to problemswith the enemas. )t becomes difficult to instill the full $ o". of coffee solution, difficult to hold the enema thefull +$+- minutes or, on the other hand, the enema becomes trapped and cannot be released. 2ollowing is a listof possible remedies which have proved useful to patientsrice, 55*, 2.A.1.5., early this century. 5r 7einig for many years headed the group ofdentists engaged in doing root canals. :e also states he did many hundreds himself. :owever, when he becameaware of the dangers inherent in this treatment, he incorporated his new findings in his practice and now spendshis time and energies in making the public, as well as dentists, aware of the research.The first indication of problems due to root canals came from a patient who was bedfast and virtually paraly"eddue to rheumatoid arthritis, for some reason, her root canal filled tooth was removed, although it looked healthy,and after some months, she could walk and her health was totally restored. ?ut 5r >rice took the extracted tooth,sterili"ed it thoroughly, and implanted it under the skin of a rabbit. #ithin - days, the rabbit was suffering withsevere rheumatoid arthritis, and in +% days it died of the disease.*ubse(uently, many other patients had root canal filled teeth extracted< some suffering from kidney disease,others from heart disease, and many more with arthritis. )n virtually all cases, the patients showed considerableimprovement, to even total recovery, after the offending teeth were removed. ?ut, again, many more times. 5r>rice implanted the teeth under the skin of rabbits. )n each case, the tooth removed from the patient caused the

patient's disease in the rabbit. 5r >rice went even further to try to clear the apparently infectious material fromthe extracted teeth< he autoclaved them /sterili"ed by steam pressure, usually at $-% degrees 2 or +$+K10. Thismade no difference< the rabbits with the sterili"ed tooth implanted still developed the disease and died, usuallywithin +% days. Then 5r >rice implanted a healthy tooth under the skin of a rabbit. The rabbit lived withoutshowing any signs of problems for about +- years, its normal life span.The underlying problem is very interesting< when the nerve is removed from a tooth, it is no longer living, nor isit supplied with nutrients. )t is dead. :owever, the normal structure of the tooth includes tiny 'canules' /similar tocapillaries in every human tissue0 that carry nutrients to the living tooth. Once the tooth is dead, nutrients stopcirculating through these canules, instead they become infested with germs and viruses. 9ot only that, but thefilling of the nerve canal shrinks a tiny little bit, enough for more bacteria and viruses to lodge there, too. 9oneof this shows on Qrays. A dead tooth is thus a potent source of bacterial and viral toxins and infections that canspread throughout the system. 7any people with a good immune system and powerful defenses, can live withthis constant source of trouble without showing any symptoms. 1areful Qrays in many cases show that withtime &cavitation& /hollowing out of the surrounding !aw bone0 occurs around the root canal treated tooth. As theresistant patient ages or is weakened by accidents, colds and flu, or severe stress, the ability to overcome this'focal infection' is reduced and can either cause or contribute to cause severe chronic disease.)n view of the above, it will not come as a surprise that we urgently suggest patients remove any tooth /or teeth0with root canal fillings.A German physician. 5r Iosef )ssels, heard a lecture by 5r Gerson back in the +-%'s and subse(uentlysuccessfully used alternative treatments in helping many cancer patients. 5r )ssels spent some time at the

Gerson Therapy 1enter and also pointed out the severe damage caused by root canal fillings. :e further statedthat he refused to treat any cancer patient who did not allow all 'devitali"ed' /dead0 teeth to be removed. :eexplained that he could not obtain good results without this procedure.



As this is something that is appearing more and more often in our patients, we recommend that this be discussedwith your physician if you have had root canal work done in the past.*ome dentists are now claiming that newly available materials they use in the root canal are &safe.& 5o notallow any root canals to be performed, as it is not the dental material, but the dead tooth that causes the problem.

Aental &nesthesia for the Gerson PatientThere are several things to remember when it comes to dental anesthesias. On the one hand, the Gerson patient

since sJhe is well detoxified, has a higher threshold of pain so average pain 'doesn't hurt as much'. On the otherhand, a Gerson patient is also much more sensitive to drugs and, under certain circumstances, the full averagedose /$cc0 of Qylocaine /or other pain killer drug0 could cause serious problems. )t is important that the patientadvise his dentist as follows9)'s findings there are also sound medical reasons for urgently re

programming the patients' inner state from negative to positive. &9o attempt should be made to cure the bodywithout the soul,& wrote the Greek philosopher >lato nearly $@%% years ago. )n today's terms, even the brilliant

Gerson program cannot do its best if something deep down in the patient's consciousness keeps saying &9o& tolife.And that something may be a totally separate diagnosis. )t may have to do with what 3awrence 3e*han, pioneerresearcher of the bodymind link in malignant disease, dubbed &the cancerprone personality&. Other researcherssoon confirmed his observation that certain personality traits seemed topredispose some people to cancer. )n3e*han's formulation, these traits include low selfesteem, difficulty in expressing anger or aggression, atendency to please others and ignore hisJher own needs and feelings. )n other words, the true self of such a

person has disappeared behind a false self, developed probably in early childhood and maintained in adulthood,although no longer necessary.

9aturally, this personality profile is only a model and does not apply to all cancer patients, although in my workwith sufferers over nearly fourteen years ) have often come across these character traits. #hat matters is that together or separately they signal a negative outlook on life which a cancer diagnosis can turn into bleakdespairF and >9) tells us clearly what that means in trends of reduced immune competence.

)t is well known that cancer often appears + months or two years after some untoward life event, such asbereavement, divorce, career crisis, fiscal blow, and so on. 4xperience with clients has shown me that thoseevents only represented the last straw that ultimately broke the camel's backF that, indeed, those people had longexisted in what they had felt was a life trap, an impossible existential situation that apparently could neither be

borne nor changed. 3e*han and 1arl *imonton, 7.5., describe this life trap in detail. 7y own case materialbears out its existence, and also the fact that those who feel unable to escape eventually reach a stage when theydon't care whether they live or die. As many of them have told me, &*omething snapped.& ) suspect it was thelast strand of their will to live.And, as the wellknown saying has it, &1ancer is a socially acceptable form of suicide.hat we are dealing with here is the mysterious interaction of biochemist and emotions, a vast new area of

bodymind medicine which we are only beginning to explore. ?ut there is already enough orthodox clinical, asopposed to anecdotal, evidence to prove that inner attitudes can make a big difference to survival.)n a now classical study, ?ritish researcher *tephen Greer interviewed a group of women three months after they

had undergone mastectomies, to find out how they were coping. :e found four distinct types among them whoshowed, respectively, fighting spirit, denial, stoic acceptance, and hopelessness. After - and +% years, %C of thefighters, but only $%C of the hopeless had survived. These rates had nothing to do with medical prognoses.)n the 8.*., 5avid *piegel, 7.5., of *tanford, invited a group of - women with metastasi"ed breast cancer toattend weekly meetings for a year, where they could share worries and sorrows, encourage each ether, andchange their mental attitude. A control group of -% women attended no such meetings. *piegel only wanted todiscover whether the group activity enhanced the members' (uality of life, which it certainly did. ?ut, to hisama"ement, he found that they also lived twice as long as those that did not attend.These studies, as well as my own case histories suggest that the fighters, unlike the despondent patients, give

positive nonverbal messages to their bodies which boost their immune system, and get results accordingly. 9otalways. :umanity's mortality rate remains obstinately +%%C, but we don't all have to go at once.*till, on the orthodox side, an interesting insight comes from 8.*. oncologistsurgeon ?ernie *iegal, 7.5.,author of several bestselling books which have helped to extend public understanding of the bodymind link in

health and sickness. :e claims that +-$%C of cancer patients unconsciously or consciously want to die, nodoubt to get out of a bad life trap. %;%C wish to get well but are passive and expect the doctor to do all thework. +-$%C, however, are exceptional< they refuse to play victim, they research their disease, don't obey thedoctor automatically but ask (uestions, demand control and make informed choices. )n ?ernie *iegel's words,&5ifficult or uncooperative patients are most likely to get well. Apparently they have more killer Tcells thandocile patients. ) suspect that many Gerson patients would (ualify for membership in ?ernie *iegel's groups of4xceptional 1ancer >atients.*o how do we go about promoting a positive outlook and a fighting spirit in the patientDThe best ) can offer is what ) have learned and practiced over the years. The following steps refer to all patientswith cancer or other chronic degenerative diseasesF the specific needs of Gerson patients will be discussedafterwards. The first step is to demystify the disease, discuss it openly, in a natural voice, without euphemismsor technical !argon. This helps to provide a safe space where the patient can find emotional release, encouraged

by being listened to with total, non!udgmental attention.



) always ask the initial (uestion, &5o you want to liveD& )f the answer is yes, ) ask, &5o you want to liveunconditionallyD& Another firm &yes& settles that matter. ?ut often a &yes, but...& reply identifies an undecidedindividual, and the need for further exploration.)t is important to build a therapeutic partnership with the patient and give him or her responsibility and an activerole to play. #e must be totally honest, have the courage to say &) don't know& when we don't refuse any kind of

prognosis. )f a patient tells us that -C of people with his condition die within three years, we invite him to !oin

the +-C who don't. /) recall with !oy and admiration the fragile little lady riddled with cancer who, when toldthat she had six months to live, brightly replied, &Oh good, ) have six months to get well.& And get well she did,on the Gerson Therapy...0The +$@ months of the patient's life prior to the diagnosis can yield valuable clues. 5id some ma!or stressdrive the patient to drink, drugs or other destructive habits which caused significant liver damageD Gentle(uestioning often allows us to identify some life trapF the next task is to show that there is a way out, other thandying.To flush out the inner saboteur, we need to help the patient recogni"e and release selfdefeating patterns, oldunfinished business, and resentment especially resentment, since the repeated reliving of old hurts, rage or pain

puts the autonomic nervous system into distress mode, which is the last thing the patient needs.Eeprogramming means shifting the emphasis from negative to positive. To (uote 3e*han once again, his basic(uestion is hat's right with youD& #hat are your special ways of being, relating, creatingD #hat is blockingtheir expressionD #hat do you need to fulfill yourselfD Above all, what do BO8 want to do with your lifeD&

) agree with 3e*han's claim that under the circumstances it is permissible to ask (uestions which one wouldavoid otherwise. Muestions like< )f you had another thirty years to live, would you remarry your spouseD or staywith your partnerD or remain in your present careerDOnce these important basics have been clarified, it is time to switch from the passive to the active mode and

point out the enormous potential open to the patient, if only he or she will act, not !ust react, and start makingpersonal decisions. After all, there is nothing to lose.)f possible, the family dynamics should also be explored. A toxic relationship to a spouse, an overdemanding

parent or antagonistic children may contribute to the disease. #ithout recogni"ing the situation there is no wayto ease it.A great deal can be achieved in a short time. The main tool of the physician or therapist is his or her personalityand calm, reliable presence. Often this presence is the only solid support to the patient's confused, chaotic world.Other tools, such as teaching relaxation techni(ues, simple meditation, and creative visuali"ation, focused onselfhealing, can and should he used later, by suitably trained counselors and therapists.

?eside the trauma and psychological needs experienced by cancer sufferers in general, Gerson patients haveextra burdens to bear. 2ar too many come to the therapy as a last resort, after conventional treatments havefailed them, leaving behind a sense of disappointment, betrayal, and a range of severe aftereffects. 2or them,embarking on the Gerson Therapy is like taking a mad gamble, an endoftheline decision.Others choose the Gerson path at an earlier, less serious stage of their disease, with fewer preventable changes intheir bodies, but with a poor prognosis.

4ither way they embark on an unfamiliar treatment, much of which sounds bi"arre at first.They step outside the boundaries of orthodox medicine, the network of doctors, consultants, hospitals, referralsFa whole system which has been unable to heal them yet still carries an aura of great power. *ome may have beenshown the door by their physician. Others face pressure and doubts from family members and friends who don'tsee how a weird, neverheardof therapy can succeed where modern hightech medicine has failed.The wouldbe patient's own doubts spring largely from the sheer length of the therapy. )n the more familiar

allopathic field of medicine there is a pill for every ill, you either recover or you die, but at least things happenfast. To face two years of unremitting effort, strict discipline and monotony sounds pretty horrendous, especially

because there is no guarantee of success at the other end. This explains why only a small percentage of in(uirerschooses to embark on the therapy /in the 8.. the uptake is around $%C0 after digesting the first batch ofinformation.#e can assume a certain toughness and determination, or sheer despair, in those who are willing to make a start.At this stage, their main need is for reassurance, for sober hope mixed with honest realism. They need to hearthat theirs is a serious disease indeed, but it is possible to recover from it, and the Gerson Therapy is the mostlogical way to regain their health. This is when the cognitive approach works best, explaining the &how& and the&why& of the Gerson program. )t needs no medical background to understand why rebuilding the immunesystem is a better idea than knocking it out with radiation and a cock tail of toxic substances.And so, by this stage having settled the emotional overload of the patient, we work along rational lines,explaining, answering (uestions, not asking anything to be taken on trust. This reinforces the patient's

involvement in the healing process as an e(ual partner and ally of the doctor or specialist counselor.To get an overview, it helps to imagine the two or more years of the Gerson Therapy as a drama in three acts.



3ct /ne

*tarting out. A time of excitement and exploration, unfamiliarity, drastic changes in lifestyle, diet, daily routine.7uch to learn all the time. )t is a great advantage to start the therapy at a Gerson clinic. ?ut, sooner or later,there follows the expulsion from that Garden of 4den where everything is done for the patient, and reality must

be faced at home. 2or the patient who starts at home, chaos sets in temporarily from 5ay One.At first, the sheer tasks of the day seem impossible< preparing !uices, food, enema coffee, washing up endlessly,

securing deliveries, checking on the helper, cleaning up after the helper above all, remaining sane. At thisstage, practical help is essential almost round the clock, to stop the patient from giving up at once.Act One is so busy and active that there is little space and time for psychological matters.3ct T>o

The main part /possibly the longest second act on 4arth0. The daily routine has been established and is rollingalong, but even with helpers it demands time, effort and perseverance. The monotony and boredom begin to tellon the patient who feels restricted, under virtual house arrest. )n theory it is possible to go out after dinner, in

practice it does not happen often.Then there is the problem of flareups or healing reactions which can be vile yet have to be welcomed, sincethey signal that the body is responding to the therapy. ?y way of psychological support the reasons andsymptoms of flareups must be explained in advance, so that the patient does not panic /while feeling terrible0.&This, too, will pass& is the best comfort we can offer.An opposite problem, admittedly much rarer, is when there are no flareups for a while, and the patient

immediately concludes that the therapy is not working, there is no hope left. ) remember my own despondencyall those years ago when, except for one almighty flareup, + did not have any for months. )t really worried me.Then ) had twentysix in a row, which gave me something else to worry about.>hysical detoxification inevitably brings about psychological detoxification, too. Toxins passing through thecentral nervous system evoke strange reactions and outofcharacter behavior< violent mood swings, snappiness,anger, instability, unfair accusations and aggression. Thepatient's normally civili"ed behavior gives way todrives and emotions that have been denied and repressed for a long time, perhaps since childhood. The adult&censor& within is pushed aside by a raging infant, at least for a while, and then takes over again, amidst profuseapologies.This, too, has to be prepared for, and not taken personallyF it is part of the process. )n whatever capacity wework with the patient, we remain calm, caring, unchanged, waiting for the inner upheaval to pass.:owever, we need to be more active if depression sets in. This, too, can be the result of the detoxification

process, or of some small adverse symptom which is immediately seen as ominous. Abad result in the latest

blood test or an apparent change in a palpable tumor can plunge the patient into black despair. This has to bedispelled fast by pointing out that there are many ups and downs and fluctuations within the healing process, sothat single symptoms are not signals of doom.5epression can also set in when the patient gets terminally fed up and wants to (uit the therapy, althoughimprovements are noticeable. )t is best not to contradict the patient's grumbles but, on the contrary, agree thatthe process is demanding, monotonous, restricting and boringF and then point out the good results so far, asktactless (uestions, such as, ould you rather have chemotherapyD& or &All right, you give up and then whatD&and wait for the answer.Eemember< this, too, will pass.Taking life day by day, one day at a tine, is a good way to handle the apparent endlessness of the therapy,without losing sight of the ultimate aim. )n fact, interim goalsetting what would the patient want to achieve inone week, one month and three months helps even further to break up the monotony. The aims should berealistic and modest, and warmly acknowledged when they are achieved. Those that did not work out can be

rephrased or postponed but not written off as failures.' 2ood can be a ma!or issue during the main part of the therapy. 7any people take to Gerson food at once anden!oy it. Others do not. #hen resistance wells up and turns mealtimes into the adult e(uivalent of nurserytantrums, we are up against the deep emotional investment many people have in certain types of food, howeverunhealthy. Their attachment is probably to the food mother gave then in childhood when food e(ualed love,even if it was lowgrade !unk. At a fraught time such people may feel that what they eat is their last area of freechoice, and even though on a mental level they accept the Tightness of the Gerson diet, on a deeper nonrationallevel they re!ect it, sometimes literally.This is where wise counseling is needed. The patient must be reminded that the food on offer is medicine, thatthe diet is not for ever, and that accepting it now is a sound investment in the future. ) have found it helpful tomake a solemn contract with the patient who undertook to stick to the diet meticulously for a fortnight. As arule, (uick improvement followed and extending the contract proved easy.The need to observe the rules cannot be overstated. *mall lapses and occasional exceptions, often asked for by

patients, are out of the (uestion, for what exactly is small, and how often does an occasional exception occurDOnce the rules are broken, the safe boundaries of the therapy are damaged, and the conse(uences can be serious.



:owever, as carers or therapists we must enforce the rules with tact and affection, otherwise we may end up inthe role of the overstrict parent, with &Thou shalt not& written all over us.5uring the long main part of the therapy, the patient's boredom can be relieved by providing relevant readingmaterial and tapes, set up networking with other Gerson >ersons, or encourage a fresh hobby or study that can

be fitted in between !uices, enemas and meals. 2riends' behavior can be crucial. 1an they bear the patient'sillness and face their own fears, or do they fade out of the pictureD And how are the family members copingD

Are they bearing the burden of the therapy without making the patient feel guiltyD3ct Three

#inding down. The intensive therapy is over. 9ow is the time to taper it off more and more, cutting downgradually on !uices, enemas, medication, preparing to reenter the world.This can be a very tricky phase. The same patients who used to ask, &)s there life after GersonD& now arereluctant to let go of the routine. )t has become a way of life which has served them superbly. They feel and lookwell, they are symptomfree, with good test results and no complaints. ?ut they do not want to come off thetherapy.?y then it has become their safety device and symbolic lifeandhealth insurance, with the implied fear thatstopping the therapy may bring on a relapse. This fear must not be dismissed lightly< it re(uires a careful, patient&weaning process& to ensure that the tube of the enema bucket does not turn into a substitute umbilical cord.*ticking with the dietary principles set out by 5r. Gerson is very necessary for the rest of one's life, in order tosafeguard one's bravely rebuilt health.

There are others, of course, who have to be restrained from rushing back into their erstwhile disastrous eatinghabits at the end of Act Three. As a rule, the attempt is doomed< their detoxified, cleared, optimally nourishedsystems tend to shrink away from socalled normal food, heavy with fat and painfully salty. )f theirunderstanding does not ob!ect to !unk food, their taste buds will.)n my experience, after recovery there is no way back into the predisease state. The experience of the holisticGerson Therapy changes you, not only in your lifestyle and eating habits but also in your value system,

priorities and general outlook. Bou have been reborn without the need to die first, and you may easily andnaturally decide to help others, by way of repaying a debt to life.

3ppendix I" :ab Tests

3aboratory testing of blood and urine are a standard part of your Gerson physician's followup protocol for

Gerson Therapy patients. The following compendium of explanations and interpretations is provided to helppeople feel less intimidated by unfamiliar terms, and to ac(uaint them with current knowledge.4ither Goul!*s %e!ical /ictionary or Taber*s Cyclope!ic %e!ical /ictionary will prove an indispensable aid.Also valuable will be the ebster*s Dnabri!)e! nternational /ictionary /published by 7erriam 1o.0.One of the first reali"ations the reader will have is that lab values shift fre(uently, rapidly, and for a wide varietyof reasons. 4ven large shifts which fall within or close to normal indicated limits should not be cause for alarm.Eesults of a single set of chemistries or counts are never conclusive. Eemarkable results, those which fall faroutside of normal limits, warrant retesting and future monitoring.The following laboratory test report is an example taken from the chart of a Gerson patient. :eadings below arenumberreferenced to this report. >lease note that no two laboratories use the same forms or necessarily grouptests in the same way. Although most labs are now using standardi"ed reporting systems, some labs will useranges of findings which differ from those below.

"% alciu), seru)This test measures serum levels of calcium, a predominantly extracellular cation that helps regulate and promoteneuromuscular and en"yme activity, skeletal development, and blood coagulation. The body absorbs calciumfrom the gastrointestinal tract, provided sufficient vitamin 5 is present, and excretes it in the urine and feces.Over C of the body's calcium can shift in and out of these structures. 2or example, when calciumconcentrations in the blood fall below normal, calcium ions can move out of the bones and teeth to help restore

blood levels.>arathyroid hormone, vitamin 5, and to a lesser extent, calcitonin and adrenal steroids control calcium bloodlevels. 1alcium and phosphorus are closely related, usually reacting together to form insoluble calcium

phosphate. To prevent formation of a precipitate in the blood, calcium levels vary inversely with phosphorusF asserum calcium levels rise, phosphorus levels should decrease through renal excretion. *ince the body excretescalcium daily, regular ingestion of calcium in food /at least + gJday0 is necessary for normal calcium balance.Purpose

To aid diagnosis of neuromuscular, skeletal, and endocrine disordersF arrhythmiasF bloodclotting deficienciesFand acidbase imbalance.



Ea$ues

9ormally, serum calcium levels range from . to +%.+ mgJdl /atomic absorptionF $.$- to $.;- mmolJ30. )nchildren, serum calcium levels are higher than in adults. 1alcium levels can rise as high as +$ mgJdl /.%mmolJ30 during phases of rapid bone growth.I&p$ications o' resu$ts

Abnormally high serum calcium levels /hypercalcemia0 may occur in hyperparathyroidism and parathyroid

tumors /caused by oversecretion of parathyroid hormone0, >aget's disease of the bone, multiple myeloma,metastatic carcinoma, multiple fractures, or prolonged immobili"ation. 4levated serum calcium levels may alsoresult from inade(uate excretion of calcium, as in adrenal insufficiency and renal diseaseF from excessivecalcium ingestionF or from overuse of antacids such as calcium carbonate.3ow calcium levels /hypocalcemia0 may result from hypoparathyroidism, total parathyroidectomy, ormalabsorption. 5ecreased serum levels of calcium may follow calcium loss in 1ushing's syndrome, renal failure, acute pancreatitis, and peritonitis.!$inica$ 3$ert" Observe the patient with hypercalcemia for deep bone pain, flank pain caused by renal calculi,and muscle hypotonicity. :ypercalcemic crisis begins with nausea, vomiting, and dehydration, leading to stuporand coma, and can end in cardiac arrest.)n a patient with hypocalcemia, be alert for circumoral and peripheral numbness and tingling, muscletwitching, 1hvostek's sign /facial muscle spasm0, tetany, muscle cramping. Trousseau's sign /carpopedal spasm0,sei"ures, and arrhythmias.

2% Phosphates, seru)This test measures serum levels of phosphates, the dominant cellular anions. >hosphates help store and utili"e

body energy, and help regulate calcium levels, carbohydrate and lipid metabolism, and acidbase balance. >hosphates are essential to bone formationF about -C of the body's phosphates are found in bone. The intestineabsorbs a considerable amount of phosphates from dietary sources, but ade(uate levels of vitamin 5 arenecessary for their absorption. The kidneys excrete phosphates and serve as a regulatory mechanism. ?ecausecalcium and phosphate interact in a reciprocal relationship, urinary excretion of phosphates increases ordecreases in inverse proportion to serum calcium levels. Abnormal concentrations of phosphates result moreoften from improper excretion than from abnormal ingestion or absorption from dietary sources.Purpose

H To aid diagnosis of renal disorders and acidbase imbalance.H To detect endocrine, skeletal, and calcium disorders.Ea$ues

9ormally, serum phosphate levels range from $.- to @.- mgJdl /%.% to +.@% mmolJ30 or from +. to $. m4(Jliter. 1hildren have higher serum phosphate levels than adults. >hosphate levels can rise as high as ; mgJdl /$.$-mmolJ30 during periods of increased bone growth.I&p$ications o' resu$ts

?ecause serum phosphate values alone are of limited use diagnostically /only a few rare conditions directlyaffect phosphate metabolism0, they should be interpreted in light of serum calcium results.5epressed phosphate levels /hypophosphatemia0 may result from malnutrition, malabsorption syndromes,hyperparathyroidism, renal tubular acidosis, or treatment of diabetic acidosis. )n children, hypophosphatemiacan suppress normal growth.4levated levels /hyperphosphatemia0 may result from skeletal disease, healing fractures, hypoparathyroidism,acromegaly, diabetic acidosis, high intestinal obstruction, and renal failure. :yperphosphatemia is rarely clinically significantF however, if prolonged, it can alter bone metabolism by causing abnormal calcium phosphatedeposits.

#% odiu), seru)This test measures serum levels of sodium, the ma!or extracellular cation. *odium affects body waterdistribution, maintains osmotic pressure of extracellular fluid, and helps promote neuromuscular functionF it alsohelps maintain acidbase balance and influences chloride and potassium levels. *odium is absorbed by theintestines and is excreted primarily by the kidneysF a small amount is lost through the skin.*ince extracellular sodium concentration helps the kidneys to regulate body water /decreased sodium levels

promote water excretion and increased levels promote retention0, serum levels of sodium are evaluated in relation to the amount of water in the body. 2or example, a sodium deficit /hyponatremia0 refers to a decreased levelof sodium in relation to the body's water level. The body normally regulates this sodiumwater balancethrough aldosterone, which inhibits sodium excretion and promotes its resorption /with water0 by the renaltubules, to maintain balance. 3ow sodium levels stimulate aldosterone secretionF elevated sodium levels depress

aldosterone secretion.%pecial ote:n the conte(t of the Gerson Therapy both so!ium an! chlori!e le6els may occasionally fallbelow normal limits for the )eneral population. hen this occurs fre@uent monitorin) of electrolytes an!



continuous clinical obser6ation are warrante!. n most cases so!ium spillin) is self&limitin). Re!uction of

e!ema throu)h elimination of so!ium is the )oal of so!ium restriction an! potassium supplementation. The bo!y

mechanisms which are accelerate! by the Gerson Therapy in or!er to remo6e so!ium from !isease! tissue will

not normally cause a se6ere re!uction of serum so!ium which is essential for life.ote: hen below normal

so!ium le6els occur the Gerson physician shoul! be imme!iately consulte!.

Purpose

H To evaluate fluidelectrolyte and acidbase balance, and related neuromuscular, renal, and adrenal functions.H To evaluate the effects of drug therapy /such as diuretics0 on serum sodium levels.Ea$ues

9ormally serum sodium levelsrange from +- to +@- m4(Jliter/mmolJ30.I&p$ications o' resu$ts

*odium imbalance can result from a loss or gain of sodium, or from a change in water volume. *erum sodiumresults must be sodiumwater balance through aldosterone, which inhibits sodium excretion and promotes itsresorption /with water0 by the renal tubules, to maintain balance. 3ow sodium levels stimulate aldosteronesecretionF elevated sodium levels depress aldosterone secretion.

%pecial ote:n the conte(t of the Gerson Therapy both so!ium an! chlori!e le6els may occasionally fall

below normal limits for the )eneral population. hen this occurs fre@uent monitorin) of electrolytes an!

continuous clinical obser6ation are warrante!. n most cases so!ium spillin) is self&limitin). Re!uction ofe!ema throu)h elimination of so!ium is the )oal of so!ium restriction an! potassium supplementation. The bo!y

mechanisms which are accelerate! by the Gerson Therapy in or!er to remo6e so!ium from !isease! tissue will

not normally cause a se6ere re!uction of serum so!ium which is essential for life.ote: hen below normal

so!ium le6els occur the Gerson physician shoul! be imme!iately consulte!.

Purpose

H To evaluate fluidelectrolyte and acidbase balance, and related neuromuscular, renal, and adrenal functions.H To evaluate the effects of drug therapy /such as diuretics0 on serum sodium levels.Ea$ues

9ormally serum sodium levelsrange from +- to +@- m4(Jliter/mmolJ30.I&p$ications o' resu$ts

*odium imbalance can result from a loss or gain of sodium, or from a change in water volume. *erum sodiumresults must be cation. *mall amounts of potassium may also be found in extracellular fluid. 6ital to homeostasis, potassium maintains cellular osmotic e(uilibrium and helps regulate muscle activity /it's essential inmaintaining electrical conduction within the cardiac and skeletal muscles0. >otassium also helps regulateen"yme activity and acidbase balance, and influences kidney function. >otassium levels are affected byvariations in the secretion of adrenal steroid hormones, and by fluctuations in p:, serum glucose levels, andserum sodium levels. A reciprocal relationship appears to exist between potassium and sodiumF a substantialintake of one element causes a corresponding decrease in the other. Although it readily conserves sodium, the

body has no efficient method for conserving potassium. 4ven in potassium depletion, the kidneys continue toexcrete potassiumF therefore, potassium deficiency can develop rapidly and is (uite common.*ince the kidneys excrete nearly all the ingested potassium, a dietary intake of at least @% m4(Jday /mmolJd0 isessential. /A normal diet usually includes % to +%% m4( LmmolJdR potassium.0Purpose

H To evaluate clinical signs of potassium excess /hyperkalemia0 or potassium depletion/hypokalemia0.H To monitor renal function, acidbase balance, and glucose metabolism.H To evaluate neuromuscular and endocrine disorders.H To detect the origin of arrhythmias.

Ea$ues

9ormally, serum potassium levels range from . to -.- m4(Jliter /mmolJ30.I&p$ications o' resu$ts

Abnormally high serum potassium levels /hyperkalemia0 are common in patients with bums, crushing in!uries,diabetic ketoacidosis, and myocardial infarction conditions in which excessive cellular potassium enters the

blood. :yperkalemia may also indicate reduced sodium excretion, possibly because of renal failure /preventingnormal sodiumpotassium exchange0 or Addison's disease /caused by the absence of aldosterone, with con

se(uent potassium buildup and sodium depletion0.ote:Althou)h ele6ate! serum potassium is uncommon in



Gerson patients if it !oes occur supplemental potassium shoul! be !iscontinue! an! the Gerson physician

shoul! be imme!iately consulte!.

!$inica$ 3$ert" Observe a patient with hyperkalemia for weakness, malaise, nausea, diarrhea, colicky pain,muscle irritability progressing to flaccid paralysis, oliguria, and bradycardia. 4lectrocardiogram /41G0 reveals a

prolonged >E intervalF wide ME*F tall, tented T waveF and *T depression.?elownormal potassium values often result from aldosteronism or 1ushing's syndrome /marked by

hypersecretion of adrenal steroid hormones0, loss of body fluids /as in longterm diuretic therapy0, or excessivelicorice ingestion /because of the aldosteronelike effect of glycyrrhi"ic acid0. Although serum values andclinical symptoms can indicate a potassium imbalance, an 41G provides the definitive diagnosis.!$inica$ 3$ert (+" Observe a patient with hypokalemia for decreased reflexesF rapid, weak, irregular pulseFmental confusionF hypotensionF anorexiaF muscle weaknessF and paresthesia. 41G shows a flattened T wave, *Tdepression, and 8 wave elevation. )n severe cases, ventricular fibrillation, respiratory paralysis, and cardiacarrest can develop.Inter'erin 'actors

4xcessive or rapid potassium infusion, spironolactone or penicillin G potassium therapy, or renal toxicity fromadministration of amphotericin ?, methicillin, or tetracycline increases serum potassium levels.)nsulin and glucose administration, diuretic therapy /especially with thia"ides, but not with triamterene,amiloride, or spironolactone0, or ).6. infusions without potassium decrease serum potassium levels.4xcessive hemolysis of the sample or delay in drawing blood following application of a tourni(uet increases

potassium levels.5% hloride, seru)This test, a (uantitative analysis, measures serum levels of chloride, the ma!or extracellular fluid anion.)nteracting with sodium, chloride helps maintain the osmotic pressure of blood and therefore helps regulate

blood volume and arterial pressure. 1hloride levels also affect acidbase balance. *erum concentrations of thiselectrolyte are regulated by aldosterone secondarily to regulation of sodium. 1hloride is absorbed from theintestines and is excreted primarily by the kidneys.Purpose

H To detect acidbase imbalance /acidosis and alkalosis0 and to aid evaluation of fluid status and extracellularcationanion balance.Ea$ues

9ormally serum chloride levels range from +%% to +% m4(Jliter /mmolJ30.I&p$ications o' resu$ts

1hloride levels relate inversely to those of bicarbonate and thus reflect acidbase balance. 4xcessive loss ofgastric !uices or of other secretions containing chloride may causehypochloremic metabolic alkalosisF excessive chloride retention or ingestion may lead to hyperchloremicmetabolic acidosis.4levated serum chloride levels /hypercloremia0 may result from severe dehydration, complete renal shutdown,head in!ury /producing neurogenic hyperventilation0, and primary aldosteronism.3ow chloride levels/hypochloremia0 are usual

Documents

Max Gerson - Gerson Therapy Handbook. Companion Workbook