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Posts Tagged ‘stomach’

The phrase: “Death begins in the colon”, coined by Nobel Prize winner professor Elie Metchnikoff, is a well known one; at least amongst my peers and I. I’m not sure who originally coined the 4 R’s approach to digestive disorders, but it is certainly a great way to help someone gain optimal digestive health. The 4 R’s are: 1) Remove. 2) Replace, 3) Re-inoculate, 4) Repair. I’ll discuss each individually.

1) Remove – This refers to removing food allergens, sugar (in most forms), alcohol, artificial sweeteners and colors, and perhaps even gluten from the diet. Additionally, “removal” of pathogens such as: (an overgrowth of) yeast, parasites, harmful bacteria, viruses, protozoa, etc. is part of the “remove” step. This can be accomplished through the making healthy food choices and taking specific nutritional and/or herbal formulas.

2) Replace – This refers to “replacing”, really adding the biochemicals (via dietary supplements) necessary to digest food. For example, one may need digestive enzymes (to break down fat, carbohydrates, and protein) and/or hydrochloric acid to help with digestion of protein in the stomach, among other important reasons.

3) Re-inoculate – This step involves adding beneficial flora (or gut bacteria) in the form of dietary supplements. This helps to ensure the “good” and “bad” bacteria in the digestive tract is balanced in a healthy way. Often, there will be an overgrowth of organisms (those mentioned in step 2), that necessitates “re-inoculation” of good bacteria into the intestines. There are purportedly about 500 different species of bacteria residing in the gut. The common ones you’ve probably heard of are acidophilus and bifidus. These bacteria perform so many important functions that the topic deserves an article of its own.

4) Repair – This refers to repairing the structural integrity of the stomach and digestive tract. The digestive lining is easily irritated, especially from food allergens and foreign (natural or artificial) chemicals. The small intestine lining specifically tends to lose its integrity easily and can result in a condition known as “leaky gut syndrome”. This is when the cells that create the barrier against food getting into the bloodstream become damaged, thus allowing large undigested food particles (and chemicals) to be released systemically. As a result, the body can mount an immune response in reaction to these “foreign” and undigested chemicals causing a whole host of symptoms, especially allergic reactions leading to systemic inflammation. There are a variety of remedies that address this situation.

In my experience each individual does not necessarily need to go through all of these steps in order to feel better. However, implementing at least one (usually 2-3) can be the difference between success and failure. Changing the diet alone is usually not sufficient enough to feel and function better, especially if the condition is chronic.

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

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If you haven’t read my articles titled “Stomach and heartburn symptoms – aka GERD” or “Digestion – the importance of hydrochloric acid“, I recommend you start there. You may be tired of hearing about this by now, however I obviously find digestion extremely important. As with all things in life, I feel we should get the basics down first. And I believe the major nutritionally-related basics are: 1) proper digestion and absorption (assuming there is adequate nutrient intake from whole foods), 2) sufficient amounts of pure, clean water, and 3) maintenance of optimal blood sugar levels. If you can get those three things right, you’ll prevent a lot of health problems. So, this article deals with #1.

Obviously, acid-stopping medications stop your body’s production of (normal and necessary) hydrochloric acid (HCl) in the stomach. Today I’ll talk about the consequences of those medications; which also relates to the consequences of low amounts of HCl, even if you’re not taking medication. And believe me, it is a very prevalent problem, and can easily go unnoticed because you will not always have overt digestive symptoms. Now I’ll discuss the main problems associated with  too little stomach acidity.

1) An inability to properly digest proteins will likely occur.
Proteins become denatured in your stomach which allows for their eventual complete digestion. However, the stomach must have a highly acidic pH in order to accomplish this. Lack of digestion of protein will present two main problems.
First, your body may be compromised in synthesizing neurotransmitters, hormones, antibodies, hair, skin, nails, muscle etc.. That is because all of those biochemicals and tissues require amino acids to be made. Amino acids are the “building blocks” of protein. Think of a chain with links; the whole chain would be called protein, and all the individual links called amino acids.
Second, your muscles will breakdown if you do not have adequate protein available. Muscles contain abundant amounts of protein, hence the density of protein in animal meats. So, your body will “rob Peter to pay Paul” if you are not supplying adequate amounts of protein. That is, your body will literally breakdown your muscles in order to get the necessary amino acids (protein) used in making the substances mentioned above. And you still may not make everything necessary through this route. Regardless, you will literally tear your body down. Now imagine you were strength training as well – not a good combination.

2) Proper acidity in the stomach acts as an antiseptic.
Essentially, the highly acidic environment kills pathogens. What happens if we don’t kill pathogens? Of course, we get infections of varying sorts. According to a study published in the Journal of the American Medical Association, acid-blocking drugs cause an increased incidence of pneumonia. Now, there is controversy over this issue, as some studies did not find these same results. However, two researchers conducted an analysis of a number of studies and DID in fact a find an increased risk of infection with the use of acid-stopping drugs. By now though, there is probably another study refuting that and showing no effect from the drugs.

[As a quick aside – you can probably take almost any medical research study finding, then sit down on Google® for 15 minutes, and find another study that refutes those findings. That just seems to be how scientific research is. Also, it is often not possible to find out who funded a particular study. Anyway, read this on how scientific, science really is. But that story is really nothing compared to this popular story about a well-known drug company and it’s now banned deadly, drug. One more, then enough about the politics behind research.]

Regardless of whether you are susceptible enough to have these possible side-effects like pneumonia. Time and time again, I find that patients have sub-clinical symptoms that resemble gastrointestinal tract infections (and other seemingly unrelated symptoms) and can possibly be the cause of their acid-stopping medications. In particular, side-effects of some acid-stopping medications include the following: headache, constipation, diarrhea, abdominal pain, nausea, and rash. I would think of dysbiosis (or microbial imbalance in the gut) with every one of these symptoms. Additionally, About.com reports the symptoms of low stomach acid (not necessarily from drugs) as: “diarrhea, steatorrhea, macrocytic anemia, weight loss, protein-losing enteropathy, abdominal discomfort or bloating and reflux. Deficiencies in certain nutrients may result in limb weakness, memory or mood changes, numbness and tingling in the limbs or other symptoms”.

3) Reduced mineral absorption.
Most research refers to the inhibition of calcium absorption from acid-blocking drugs. Some studies report a higher incidence of hip fracture (because of low bone-mineral density); especially if these drugs are taken in high doses. Well, this clearly points out that acid-blocking drugs affect calcium utilization. You may not fracture your hip, but osteopenia and osteoporosis may certainly be a result. Also, I frequently find that abnormalities in calcium metabolism cause musculoskeletal conditions. Muscle cramps and bursitis are the most common that I see. Also, these problems can then cause or exacerbate other musculoskeletal conditions.

I hope you found this article informative. And I hope that if you or someone you know is taking one of these drugs, it had better be absolutely necessary; and other therapies to reduce the side-effects should be implemented. And please remember that you should never discontinue taking a drug prescribed by your physician without consulting with them first.

By the way, this is not a complete list of side-effects. But that’s good enough for now.

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

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Digestive problems are one of the most common conditions I see in my patients. And they are usually one of the easiest to “fix”. Now I want to discuss one possible reason that people can have faulty digestion, related to hydrochloric acid (HCl).

The chemical aspect of digestion begins in the mouth with salivary enzymes contacting food and beginning the breakdown process. It would certainly be feasible to argue that digestion actually begins in the brain when we first look at appetizing food and begin to salivate. Regardless, I will focus this article on the role and critical importance of HCl as it relates to the digestive process in the stomach.

The pH (i.e.: acidity, neutrality, or alkalinity) of  gastric (stomach) acid should normally be between 1.5-3.5, according the National Institutes of Health, some sources report an even lower pH. This is the most acidic area in our body and is a result of HCl. There are other components of gastric acid, mostly water, but let’s focus on HCl. I’ll now discuss the four roles HCl plays in the stomach. Two roles relate directly to digestion and the other two indirectly.

1) Hydrochloric acid denatures proteins. Essentially, it cleaves the bonds and basically “melts” the proteins. This is what it is generally thought to do, but there is more. [By the way, undigested proteins tend to result in allergic reactions, as the body can’t recognize the substance (when undigested) and the immune system then “attacks” it causing the reaction]

2) Hydrochloric acid also activates a substance called pepsin, via its conversion from a substance called pepsinogen. It is pepsin that mainly digests the protein we eat. Protein is critical for just about everything in our body and every cell in our body; namely collagen, elastin, hormones, neurotransmitters, enzymes, antibodies, hair, skin, nails, and muscle; and other bodily functions.

3) Indirectly HCl assists digestion further down the gastrointestinal tract by acting as antiseptic in the stomach. This occurs through literally killing microorganisms that exist in the food we eat. These organisms can come from the handling of food, natural organisms that may be present on raw food, and the unfortunate result of spoiled, semi-spoiled or uncooked meat and fish. Hydrochloric acid will also assist in the prevention of food fermentation that may occur in the dark, moist environment of the stomach. This function of HCl is of critical importance in order to prevent food-poisoning, and clinical or sub-clinical occurrence(s) of yeast, bacterial, viral, parasitic, and protozoal infections – which all happen to be a very common cause of digestive distress.

4) Lastly, HCl allows for proper mineral absorption as it assists in ionizing minerals, like calcium and magnesium to name a few. Minerals are necessary for many functions in the body, especially as catalysts to enzymes that run the important biochemical reactions that take place every second in our body. Additionally, they contribute to structural formation, as in bone.

A need for hydrochloric acid supplementation is definitely one of the most common things I see in patients. Especially those patients who complain of digestive difficulties like bloating, gas, diarrhea, constipation, yeast overgrowth (even vaginal), and even heartburn. Additionally, patients who complain that they “lost the taste” for meat tend to need HCl as well. Lastly, it should be investigated in everyone with mineral deficiency symptoms, especially osteoporosis. Bone actually has more protein than calcium. To date, I’ve literally only had one patient say that he felt a slight uncomfortable sensation from HCl supplementation, but nothing serious at all according to him. He was willing continue but I chose to have him stop it and use supplements to increase his HCl production instead. This leads me to my next point on how we make HCl.

Here’s how it’s formed. By the way, it takes more energy to make HCl in the body than any other chemical. Additionally, the mineral zinc is absolutely necessary to make it. Hydrochloric acid production is formed by the interaction of carbon dioxide and water, which is mediated by an enzyme called carbonic anhydrase, which is zinc-dependent. As a result, I always supplement zinc when I find a patient needs HCl, and then eventually wean them off the HCl. By the way, a generally accepted reliable indicator of the need for more zinc is white spots on the finger nails. I can’t find conclusive scientific evidence for this, however, I’ve had personal experience with it and also with my patients. Also, chloride is necessary, so don’t be overly afraid to consume sodium chloride (salt) unless it is necessary as determined by your doctor. I find more people need extra salt that not (for reasons beyond the scope of this articles.

One last thing, if HCl supplementation causes irritation to the stomach, or burning in the stomach, you can simply drink down a glass of water and baking soda in order to neutralize the acid right away. Again, I’ve only had it happen to one patient and he felt he didn’t even need the water and baking soda to relieve the discomfort as it was so mild. Warning: if you have been prescribed an acid-blocking medication, you should NOT take supplemental HCl before consulting with the physician who prescribed it. If you take over-the-counter acid-blockers, you should also consult a physician about your problem, as it may be more serious than you think. And remember, those medications were probably prescription-only before they went over-the-counter.

In my experience, digestive symptoms of any sort are quite prevalent. This includes but is not limited to bloating, gas, indigestion, heartburn, diarrhea, and constipation to name the most common. Why those symptoms exist in the first place is key to “fixing” them. And they are also usually the easiest to “fix”. But 90% of the time, the patient must alter their diet. Very often, HCl supplementation is one of the main solutions. But HCl is NOT always necessary. By the way, many, many, many chronic (or acute) low back pain tends to be the result of a dysfunctional digestive system and vice versa. Typically the back pain tends to be dull, achy, diffuse and worse in the morning. Hope this helps!

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

Some of this information came from Chris Astill-Smith, DO, DIBAK – and biochemist.

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GERD is an abbreviation for gastroesophageal reflux disease.  Mayo Clinic defines GERD as a “chronic digestive disease that occurs when stomach acid or, occasionally, bile flows back (refluxes) into your food pipe (esophagus). The backwash of acid irritates the lining of your esophagus and causes GERD signs and symptoms”.  They also state “signs and symptoms of GERD include acid reflux and heartburn”.  And finally, “when these signs and symptoms occur more than twice each week or interfere with your daily life, doctors term this GERD”.

OK, first of all, I am completely opposed to the use of the word “disease” when referring this symptom.  According to dictionary.com the definition of “disease” is: “a disordered or incorrectly functioning organ, part, structure, or system of the body resulting from the effect of genetic or developmental errors, infection, poisons, nutritional deficiency or imbalance, toxicity, or unfavorable environmental factors; illness; sickness; ailment.”  The key in this definition are the words “resulting from”.

Mayo Clinic says this about the causes of GERD: “GERD is caused by frequent acid reflux — the backup of stomach acid or bile into the esophagus.  When you swallow, the lower esophageal sphincter — a circular band of muscle around the bottom part of your esophagus — relaxes to allow food and liquid to flow down into your stomach.  Then it closes again.  However, if this valve relaxes abnormally or weakens, stomach acid can flow back up into your esophagus, causing frequent heartburn and disrupting your daily life.  This constant backwash of acid can irritate the lining of your esophagus, causing it to become inflamed (esophagitis). Over time, the inflammation can erode the esophagus, causing complications such as bleeding or breathing problems.”

First off, Mayo Clinic (and WebMD) make no reference to GERD “resulting from the effect of genetic or developmental errors, infection, poisons, nutritional deficiency or imbalance, toxicity, or unfavorable environmental factors; illness; sickness; ailment”, as stated in the definition of “disease”.  So why then, is this condition labeled a disease?  Well…I’ll avoid the politics of why it may be more advantageous for certain special interest groups to label a condition a “disease”.  However, when related to a nutritional deficiency, (which I commonly find to be the cause), I suppose it’s appropriate to label it a “disease”.  Mayo Clinic and WebMD do not mention nutritional deficiencies as the cause, therefore I can’t figure out why they are still calling it a disease.  I also don’t know “who” first declared it a “disease”.

Second, it makes little sense to me that Mayo Clinic says “GERD is caused by frequent acid reflux”.  Think about that, is GERD caused by frequent acid reflux?  I would say “NO”!  GERD is frequent acid reflux, as they mention in the definition.  To me that’s like saying, your cancer is caused by cancer.  So the question remains: What causes (frequent) acid reflux?

WebMD states that the following can be causes of acid reflux:
1) Foods such as chocolate, onions, peppermint, coffee, high-sugar foods, and possibly high-fat foods.  “Alcohol, tobacco (nicotine), and some medicines can also relax the lower esophageal sphincter.”  Other possibilities are spicy, citrus, and tomato foods.
2) Hormonal changes during pregnancy that can relax the lower esophageal sphincter.
3) A weak lower esophageal sphincter; no cause for that was mentioned.
4) Hiatal Hernia: when part of the stomach protrudes upward into the diaphragm.  The esophagus travels through a hiatus in the diaphragm to reach the stomach.  The “hernia” relates to the protrusion of the stomach into the esophageal hiatus.
5) Slow digestion – that is, if food stays in the stomach too long before emptying into the intestines.
6) Overfull stomach- from eating very large meals.

WebMD states the following for conventional treatments: lifestyle changes (presumably food choices); over-the-counter or prescription acid blocking drugs such as: Tums®, Pepsid®, Prilosec®, Nexium®, and Tagament®; and surgery.

Here is my approach to treating patients with stomach and heartburn symptoms.  I do NOT treat GERD (or symptoms).  I treat people.

1) Avoiding foods may be necessary, but I often (not always) do not see them as the cause of the problem.  If they were the cause, then probably most (or all) people eating those foods would develop heartburn symptoms and GERD.  Additionally, eating smaller meals, and combining foods properly can help (i.e.: no starches with proteins, high fats, or high acid foods).  But, as you know, for most people, I’m against eating starches all together – so that fixes the food combining problem.  Also, it might worth it to avoid combining fruit with anything if you suffer from heartburn or GERD symptoms.

2) Eating just before going to bed is a bad habit for a number of reasons, and I especially don’t recommend it if you have heartburn or GERD.  Also, you should not lie down within at least 2 hours after eating.

3) GET READY FOR THIS ONE – Very often, the cause of heartburn is a LACK of enough (hydrochloric) stomach acid, not too much.  The reason is because when you don’t have enough necessary hydrochloric acid, the food in your stomach will ferment.  It is then excessive acids of fermentation that cause the burning sensation, not excessive amounts of necessary hydrochloric acid.  So some conventional ideas and treatment are totally off base when treating these symptoms with antacids.  Don’t get me wrong, the medication will certainly bring quick relief, because it will neutralize the acids of fermentation also.  However, it will bring a whole host of additional problems, which I’ll be writing about soon.  Some people may in fact be making too much stomach acid, but they are very few and far between – at least from what I (and my colleagues) see in patients.  So what’s the solution – perhaps actually taking a supplement with hydrochloric acid in it.  And then, I make sure to get at the root of the problem for the low stomach acid to begin with.

4) You may to need to be checked for an overgrowth of yeast, fungus, parasites, bacteria, and viruses in your digestive tract that may compromise digestion in general and contribute to heartburn symptoms and GERD.

5) When the heartburn symptoms or GERD stem from a hiatal hernia, I can often relieve the symptoms doing simple structural adjustments.  You see, one of the hip flexor muscles (the (ilio)psoas) has a direct attachment to the diaphragm (not shown in the picture).  Often, if one them is inhibited or “weak”, the other will be over-facilitated and “tight”.  As a result, the diaphragm becomes compromised and can result in a hiatal hernia, where the stomach protrudes into the esophageal hiatus and may cause the burning sensation.  Therefore, treatment would be aimed at correcting the muscle dysfunction and adjusting cervical, thoracic, lumbar, pelvic, and/or extremity joints in order to get the hip flexors and diaphragm functioning properly.

One last thing – aberrant emotional complexes almost ALWAYS affect the stomach and digestion in general.  So you may want to consider Neuro Emotional Technique® or Emotional Freedom Techniques®.

Heartburn symptoms and GERD which cause people a lot of distress is usually very simple to correct; and it’s something I see in my patients on a regular basis.  Be very, very afraid of acid-blocking medications (unless you truly have too much hydrochloric acid in your stomach which can cause ulcers), because of the harmful problems they cause.  Again, I’ll discuss that in another article.

I’d like to make it clear that I am not saying all heartburn symptoms and GERD are a result of the problems I find.  However, it would be worth your while to have those potential problems investigated instead of taking medication.

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

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Irritable Bowel Syndrome

I’ll never forget when a patient told me that as a child, her doctor had “diagnosed” her with a “nervous stomach”.  She had been struggling with digestive complaints since she was 6 or 7 years old.  The symptoms included abdominal pain, indigestion, bloating, and alternating constipation and diarrhea.  After many years, she decided she wanted a second opinion on what was wrong.  Good for her.  She consulted with another doctor over a decade later and that doctor stated (according to the patient) “you don’t have a nervous stomach, you have an irritable bowel”.  Phew, problem solved.  “Irritable Bowel Syndrome” was the new finding.  OK, now what?  (I honestly don’t know, because she moved out of town very shortly after she came to see me.)  OK, so what does a doctor (and patient) do now that the sun is shining on what the problem “really” is?

My point here is that changing the diagnosis from “nervous stomach” to “irritable bowel syndrome” (IBS) does very little to help.  Please don’t get me wrong, I am not against the use of diagnosing conditions.  It can be (and often is) quite necessary to name a condition.  For example: stroke, appendicitis, aneurysm, myocardial infarction (heart attack), pneumonia, Lyme disease, and many, many others.  That’s because they need emergency medical help or have specific necessary treatments at the onset.  The problem arises when we lump symptoms together and don’t attempt to figure out the process.  Why don’t we diagnose the process and NOT the symptoms.  Even by definition, medical physicians call IBS a “functional digestive disorder”.  So why not thoroughly evaluate their digestive function with what we know (and are even taught in medical textbooks) about digestion.  You’ll soon see that we will be much better off by thinking in those terms.  I’m not a big fan of the approach that says: let’s name it; then we can have a tailored treatment regimen or medication for it.  If you really want to name it, that’s fine, but it’s time to stop treating symptoms (and this goes for much more than IBS).

Before I go further, I’d like to make it cleat that I do NOT diagnose “irritable bowel syndrome”.  For one, I don’t find it of any help, and two, my license does not allow me to.  However, I find I’m better off that way.  Because I’m more concerned with the question of “Why?”, than “What?”.  The symptoms are a good guide, but you can’t stop there by simply throwing a name at them.  Especially in a condition like IBS, where very often the patients have similar symptoms with a different cause.

Again, I do NOT treat IBS, nor do I treat bowels, and I especially don’t treat irritable bowels!  I treat PEOPLE!  And people have debilitating symptoms that can be helped when you start with the questions: “Why are the symptoms there?”, and “How do we get rid of them?”.  That is: “What processes are malfunctioning, and how can we return them to balance in the most efficient way possible?”

Let’s move forward.  I won’t bore with the technical diagnostic criteria.  They are called the Rome III criteria, and can be found on the the foundation’s website by clicking here if you are interested.

OK, let’s talk about some of the symptoms of IBS to start off.  Essentially, they include abdominal pain, bloating and discomfort (not necessarily outright pain).  Additionally, some people have constipation, diarrhea, or alternate between the two.  These symptoms may subside for a few months, or they may worsen over time.

Researcher have not pinned down a specific cause for IBS.  Remember, a syndrome is simply a grouping together of objective signs and subjective symptoms.

Let’s move on to the conventional treatments.  By the way, some of the above information was derived from The National Digestive Disease Information Clearing House (NDDIC).  The NDDIC has this to say about treating IBS: “Medications are an important part of relieving symptoms. Your doctor may suggest fiber supplements or laxatives for constipation or medicines to decrease diarrhea, such as Lomotil or loperamide (Imodium). An antispasmodic is commonly prescribed, which helps to control colon muscle spasms and reduce abdominal pain. Antidepressants may relieve some symptoms. However, both antispasmodics and antidepressants can worsen constipation, so some doctors will also prescribe medications that relax muscles in the bladder and intestines, such as Donnapine and Librax. These medications contain a mild sedative, which can be habit forming, so they need to be used under the guidance of a physician.”

“A medication available specifically to treat IBS is alosetron hydrochloride (Lotronex). Lotronex has been reapproved with significant restrictions by the U.S. Food and Drug Administration (FDA) for women with severe IBS who have not responded to conventional therapy and whose primary symptom is diarrhea. However, even in these patients, Lotronex should be used with great caution because it can have serious side effects such as severe constipation or decreased blood flow to the colon.”

“With any medication, even over-the-counter medications such as laxatives and fiber supplements, it is important to follow your doctor’s instructions. Some people report a worsening in abdominal bloating and gas from increased fiber intake, and laxatives can be habit forming if they are used too frequently.”

“Medications affect people differently, and no one medication or combination of medications will work for everyone with IBS. You will need to work with your doctor to find the best combination of medicine, diet, counseling, and support to control your symptoms.”

They also speak a lot about how changing one’s diet and stress management can have help relieve the symptoms, which I think is of prime importance.  Please see their site by clicking on the link above, if you are interested in more of what they have to say.

untitled-31OK, here is my approach with patients who complain of symptoms that are similar to IBS. Again, I do NOT treat IBS, I treat people.

First things first! I always start with a thorough history from the patient.  And from there, I will check all of the following.

1 – I’ll check for cervical, thoracic, lumbar, pelvic, extremity, rib, cranial, and TMJ “misalignments”.  Remember, your nervous system function determines your involuntary functions (along with your endocrine/hormonal system).  If we can get the joints functioning and moving properly, we can help get the nervous system to function properly.

2 – Then I look to where digestion begins (in the mouth), by checking the pH (acid or alkalinity) of the saliva.  Digestion really begins when you think about and look at the food you are going to eat – let’s leave that aside.

3- I look to stomach function for an excessive or decreased (most common) amount of “stomach” (or hydrochloric) acid.

4 – Next, we move on to the small and large intestines (I don’t combine them, but for simplicity I will right now).  A problem in these organs typically results from lack of digestive enzymes (could really a pancreas or stomach problem), malabsorption; an overgrowth of yeast, fungus, mold, bacteria, viruses, pollens, parasites, and/or protozoa; chemicals (environmental, food additives, etc.) and toxic metals.  Keep in mind that any of the above can reside anywhere in the digestive tract.

5 – Food intolerances

6 – Eating habits

7 – Stress and/or emotional factors

8 – Additionally the liver, gallbladder, thyroid, adrenal, pancreas, and other organs and glands can play a role – (anything can cause anything).  Typically I will assess these through the correlations between muscles and organs/glands, the acupuncture system, and laboratory analysis – i.e.: blood, urine, saliva, etc..

9 – Also, I’ll look to identify nutritional deficiencies related to the above issues.

I hope this helps to get you thinking!

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

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