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22 Book Reviews on Amazon by Jeffrey Dach MD

Over the Counter Natural Cures by Shane Ellison MS

Thanks to the draconian and unconstitutional "Gag Rule" by the FDA, nutritional supplement manufacturers are prohibited from informing the public about the supplements they make. By keeping the public in the dark, and censoring information about how supplements are safer, more effective and less expensive than drugs, the FDA reveals its true mission, to protect the profits of the drug industry.

The beauty of Shane Ellison's book is it fills in this censored information, discussing the top ten nutritional supplements and how they treat and prevent common illnesses. Mr. Ellison's background and training make him imminently qualified. He was trained as an organic chemist, and actually worked designing drugs in the labs of the pharmaceutical industry.

A recurring problem with inexpensive supplements is quality. Many are simply not worth buying because they are adulterated with fillers and may not contain the proper amounts of the nutrients. Again, Mr. Ellison goes the extra step for his readers with an independent certificate of analysis on each recommended supplement posted on his web site. In addition, the book is carefully referenced with links to the medical literature.

Here is the list of supplements discussed in the book:

Alpha Lipoic Acid is presented as a key antioxidant maintaining the skin young and wrinkle free. The mixed form of Alpha lipoic acid from Spring Valley is mentioned, also useful for prevention and treatment of diabetic neuropathy. Combine this with acetlyl -L- carnitine from Nature Bounty at Walgreens for a more robust effect.

Sadly, our bodies are contaminated with hundreds of toxic chemicals thanks to deregulation of environmental protection laws by the Bush administration, leading to even more chemical pollution of the environment. How can we help our liver eliminate these nasty substances? An herbal supplement call Milk Thistle from Spring Valley does the job.

Preventing heart disease with statin drugs, Mr Ellison tells us, is a frustrating endeavor. The drugs cause severe adverse effects, and a review of the statin drug studies shows the data has been manipulated, articles ghostwritten, and more hype than substance. For real prevention of heart disease, Mr. Ellison discards the cholesterol hypotheses as an unproven myth, and instead recommends lowering Homocysteine with a natural folic acid in Brewer's Yeast from Lewis Labs at Whole Foods, avoiding the Franken Chemical form of folic acid commonly found in cheap vitamins. Adding vitamin C in the form of acerola from Now Foods, is also part of the heart disease prevention program. For controlling blood pressure without drugs, Mr Ellison recommends herbal Hawthorne from GNC.

For people with insomnia addicted to ambien and xanax in order to sleep, Mr Ellison recommends discarding the addictive sleeping pills, and instead use Natural Valerian Root from Spring Vallery sold at Wal-mart. For Prostate trouble, use Saw Palmetto from Puritans Pride, or the GNC Men's formula. For improving vision, use Vitamin A. Mr Ellison recommends fresh chicken liver high in vitamin A, or else CarotenAll from Jarrow Formulas at Vitamin Shoppe. For cancer prevention, he suggests turmeric from Jarrow Formula - Curcumin 95. For controlling blood sugar he recommends cinnamon capsules from Spring Valley sold at Wal Mart.

Mr Ellison has no financial interest in any of these companies, so there are no conflicts of interest to report.

Judging from its title, the book sounds too good to be true, yet Mr. Ellison is true to his mission, and delivers the goods, providing valuable information not otherwise available in the mass media or from supplement manufacturers thanks the FDA Gag rule. Ellison's book covers only the first ten of thousands of supplements available on the market. He has much work to do covering the rest of them in a sequel.

Jeffrey Dach MD

Honest Medicine by Julia Schopick,February 2, 2011

This review is from: Honest Medicine: Effective, Time-Tested, Inexpensive Treatments for Life-Threatening Diseases (Paperback)
Julia Schopick's book, Honest Medicine, focuses on four highly successful treatments ignored by mainstream medicine. The first is Silverlon, a silver impregnated mesh used to heal skin compromised by repeated surgeries and radiation treatments. The second is Alpha Lipoic Acid for chronic liver disease, the third is the Ketogenic Diet for seizure disorder, and the fourth is Low Dose Naltrexone. As a gifted medical writer, Julia brings each topic alive with the testimony of patients, their doctors, and family members.

A successful treatment for childhood seizures, the Ketogenic Diet is an excellent example of the insanity of US medical system. While a less effective drug treatment called ACTH costs half a million dollars for a few months, the Ketogenic Diet is more effective with no adverse effects, costing a few dollars. However, our medical system rewards and preferentially selects drug treatment, while there is no reimbursement or financial incentive to recommend the Ketogenic Diet, which involves patient education. This is quite different in other countries such as Portugal where the diet is universally embraced. Back in the day when I was a medical student rotating through the Neuropsychiatric Institute in Chicago, a young girl in the hospital had intractable seizures unresponsive to Phenobarbitol, the standard drug treatment which only made her seizures worse. Having memorized my studies like a good student, I made the connection with Porphyria, a metabolic disorder in which the patients cannot tolerate Phenobarbitol. A simple urine exam showed the elevated Porphyrins, confirming the diagnosis. Since drug treatment had obviously failed, the patient was then sent to neurosurgery which removed the seizure focus in her brain. However, to my dismay and horror, the procedure left her hemiplegic in a semi-vegetative state. I could not stop thinking that the Ketogenic Diet would have saved her life.

Through the words of Bert Berkson MD and his patients you will learn of the amazing ability of intravenous Alpha Lipoic Acid (ALA) to regenerate the liver. After success with ALA during his hospital training years treating a patient with liver failure caused by mushroom poisoning, Berkson expanded ALA to other forms of liver diseases such as chronic hepatitis, The treatment has considerable success, especially considering that mainstream medicine has nothing to offer. Reading this story, I recalled a young mother in our community who contracted chronic hepatitis from NSAIDS and died of a complication of treatment. The mainstream doctors had given her Prednisone, a steroid drug that caused immunosuppression, and she died from disseminated fungal infection. Berkson's Alpha Lipoic Acid treatment would have saved her life. Another Berkson case study of a pancreatic cancer patient who recovered with Alpha Lipoic Acid brought back memories of other friends in our community who battled cancer and are gone. Could they have been saved?

Perhaps the poster child Julia's book is Low Dose Naltrexone, an inexpensive FDA approved drug with virtually no adverse side effects that has remarkable benefits on the immune system. The most impressive clinical application is Multiple Sclerosis where LDN has the ability to virtually stop disease progression, and should be the first line of treatment. Amazingly, mainstream neurologists know little about it and refuse to prescribe it, forcing patients to appeal to their family physicians for a prescription. Taking the lead, patients and families have created an internet community of web sites and message boards to spread the word and raise funds for their own LDN research and national LDN meetings.

One of the themes in Julia's book is her zeal and enthusiasm to change medicine for the better, and yet she openly admits this to be impossible. I would disagree. After living and working in mainstream medicine for forty years, I have seen medicine change. It is continually changing. Join with Julia Schopick and thousands of other health activists demanding these effective treatments ignored by mainstream medicine. A revolution in medical information and medical education is at hand, and Julia is leading the charge with banner held high.

other related books:

The Promise of Low Dose Naltrexone Therapy by Elaine Moore & SammyJo Wilkinson

The Alpha Lipoic Acid book, written by Dr. Burt Berkson

jeffrey dach md

Stop the Thyroid Madness: a Patient Revolution Against Decades of Inferior Thyroid Treatment by Janie Bowthorpe review by Jeffrey Dach MD

Written by a non-professional, this is the most important thyroid book to come out in the last few years. The book is timely because of two factors:

Number one) For decades, mainstream medicine has been guilty of mismanaging the low thyroid condition.

Number two) Patients are now empowered by the internet to collectively share notes and devise their own strategies for thyroid testing and treatment.

Empowered E-Patients

One of these empowered e-patients is Janie Bowthorpe, owner of the Stop-the-thyroid-Madness-blog. In her book, Janie describes her ordeal with years of crippling fatigue, all the while her doctors told her "the labs were normal", and insisting she was adequately treated with Synthroid, the mainstream T4 thyroid medication. Apparently she was not adequately treated.

Switched from Synthroid to Armour

Eventually after many years of needless suffering, Janie visited an internet thyroid message board and discovered information about natural thyroid medication called Armour. Empowered with this new information, Janie switched over from the Synthroid to the Armour, and experienced a dramatic recovery, and has been well ever since.

Janie's Amazing Journey

The first section of her book chronicles this amazing journey, and later sections are the condensed wisdom from her blog and message boards. Important chapters in the book deal with the superior clinical results of Armour natural thyroid compared to Synthroid, the unreliability of the TSH test, and the issue of adrenal fatigue in relation to the low thyroid condition. Also discussed are the role of Ferritin and Iodine.

A Very Important Book

Stop the Thyroid Madness is unquestionably a very important book which will influence mainstream medical treatment for the low thyroid condition. Jamie's activism has galvanized a revolution in medical care, with thousands of patients demanding superior thyroid care described in her book. I applaud Janie Bowthorpe's book, and wish her strength and good fortune in her continuing efforts to reform the mainstream medical system.

Other Books Recommended:

Hypothyroidism the Unsuspected Illness, by Broda Barnes MD

Iodine, Why You Need It and Why You Cant Live Without It by David Brownstein MD

Hypothyroidism, Type Two by Mark Starr MD

Adrenal Fatigue: The 21st Century Stress Syndrome by Wilson

From Fatigued to Fantastic by Jacob Teitelbaum MD, Third Edition.

Most doctors are familiar with Dr. Teitelbaum featured as an eloquent keynote speaker on the medical lecture circuit, dazzling the audience with his encyclopedic knowledge of both conventional and natural medicine. Trained in internal medicine, Jacob Teitelbaum, is a gifted and brilliant medical researcher and clinician. He is also a model for ethical business conduct, because unlike other crass, commercially oriented docs who hide their knowledge or charge for it, Teitelbaum openly shares his medical knowledge with the public and other doctors. All of Teitelbaum's treatment protocols are listed in Appendix G of the book, and are posted on his web site. In addition, all profits from books and nutritional supplements are donated to charity.

The 400 page book is lengthy, and is actually four books in one. Where previous authors have written entire books on each of the four main topics, with the acronym SHIN for Sleep, Hormones, Infections and Nutrition, Teitelbaum combines them all into one large volume which can be used as desk reference on chronic fatigue and fibromyalgia.

In addition, the book can serve as an introductory text for the open minded MD interested in integrating natural medicine into a conventional medical practice, since sleep disorders, hormonal imbalance, chronic or hidden infections, and nutritional deficiencies are some of the more common reasons to seek medical attention.

This is the third edition of his book, and Teitelbaum has managed to make a great book even better. Those familiar with the work of the Connecticut cardiologist, Steven Sinatra MD, will recognize the triad of D-Ribose, L-carnitine and Co-Enzyme Q-10 mentioned by Teitelbaum to jump start energy in the chronicly fatigued.

Insomnia or poor quality sleep is a major issue for many chronic fatigue sufferers, creating a vicious cycle which perpetuates the disorder. Teitelbaum provides a long list of natural remedies such as L-theanine 5-HTP, L-Tryptophan, Melatonin, and Magnesium, as well as today's prescription drugs for sleep heavily advertised on television.

The Hormonal Support chapter is the meat of the book, with Teitelbaum crediting the landmark work, the Safe Use of Cortisol, by McK Jefferies, and Broda Barnes' work on natural thyroid. To these medical greats, Teitelbaum adds his own unique insights gleaned from years of clinical practice. For example, Teitelbaum finds that most patients need only 5 to 12.5 mg of cortisol, and recommends keeping cortisol dosage below 20 mg per day to avoid adrenal suppression.

Like many other natural medicine docs, Teitelbaum finds bio-identical hormone supplementation important for a successful outcome, and asserts that bio-identicals are safe, a conclusion based on his own clinical experience and medical literature reviews by Kent Holtorf, MD, posted on Teitelbaum's website.

Teitelbaum found that many of his patients had chronic infections of sinuses, urinary tract, prostate, and respiratory system, and had taken multiple courses of antibiotics leading to kill-off of the friendly bacteria in the colon, as well as fungal overgrowth, also called Candidiasis. Teitelbaum credits The Yeast Connection by William Crooks for much of this information which includes a lengthy discussion of anti-fungal drugs and natural remedies for Candidiasis.

The Nutrition chapter covers a detailed program with a complete vitamin, mineral program with recommended dosages, and discusses dietary avoidance of caffeine, alcohol, sugar, white flour and other practical considerations.

My hat is off in admiration and thanks to Jacob Teitelbaum MD, for this third edition of an important book, the definitive work on chronic fatigue and fibromyalgia. No doubt, many have benefitted and will continue to benefit from the medical insights in this book. We expect and look forward to a continuing stream of valuable insights in future works as his medical career continues.

Other books recommended are Pain Free 1,2,3 by Jacob Teitelbaum MD, The Safe Use of Cortisol by McK Jefferies, and Adrenal Fatigue by Wilson.

Jeffrey Dach MD

The Testosterone Syndrome:
The Critical Factor for Energy, Health, and Sexuality--
Reversing the Male Menopause (Paperback)

The Testosterone Syndrome, Reversing the Male Menopause by Eugene Shippen, M.D. is a book about testosterone replacement for aging males. Dr. Shippen is a popular lecturer on the medical meeting circuit where he covers testosterone replacement. Not only is he an expert on testosterone medical research, he also draws on his experience of many years using testosterone in clinical practice.

It is well known that institutional medicine has been staunchly opposed to the idea of testosterone for aging males. In spite of this opposition, national sales of testosterone has been increasing yearly, suggesting that consumer demand is now the driving force. For the medical consumer, since this information isn't available from your doctor or in the media, Shippen's book is the first step to learn about signs and symptoms of low testosterone, and whether testosterone supplementation is right for you. Although some areas of the book contain language suitable for health care professionals, the book is actually written for the lay reader.

According to Shippen, age related decline in testosterone levels cause muscle weakness, memory loss, erectile dysfunction, and the onset of a host of degenerative diseases. However, merely replenishing testosterone is not the whole solution. The missing piece of the puzzle is the male estrogen level which can go up with testosterone treatment because of the aromatase conversion of testosterone to estradiol. Shippen found that this aromatase conversion of testosterone to estradiol. was aggravated if testosterone blood levels fluctuated between high and low extremes. Shippen advocates the gradual release of testosterone with subcutaneous pellets to avoid this problem. I found it puzzling that Shippen did not mention aromatase inhibitor medication which is the current solution. Also, many other experts suggest daily topical testosterone creams, since this provides more stable delivery.

During a more recent lecture I attended, Shippen spoke about giving a series of small mini-injections of testosterone, rather than the pellets. So I would caution the reader to keep in mind that the book was written 10 years ago, and a future new edition would be welcome, including information on aromatase inhibitors and other new developments. In spite of this, there is much excellent information in the book. While drugs change with the passage of time, human physiology does not.

A key chapter deals with low testosterone, erectile dysfunction and sexual dysfunction. Here Shippen shares his insights about the importance of exercise (Kegel exercises), to strengthen the pelvic muscles, in addition to testosterone for the return of sexual function.

Other chapters deal with beneficial effects of testosterone on the circulation, the heart, and mental functioning. Another chapter deals with testosterone and the prostate. One myth is that testosterone causes prostate cancer, and Shippen finds no evidence of this in the medical literature or in his clinical practice.

In conclusion, Shippen's book is recommended for any male over the age of 50 who is interested in testosterone supplementation to maintain youthful vigor, and as a preventive health measure.

Jeffrey Dach MD

Could It Be B12?: An Epidemic of Misdiagnoses
Could It Be B12?: An Epidemic of Misdiagnoses
by Sally M. Pacholok

5.0 out of 5 stars The Definitive Book on B12 Deficiency, Diagnosis and Treatment, December 23, 2007

Could it Be B12, An Epidemic of MisDiagnoses by Sally M. Pacholok R.N. and Jeffrey J Stuart D.O.

A good friend of ours had a sudden unrelenting pain in her leg which baffled her doctors. After many months of suffering, and many failed treatments and medications, she tried inexpensive vitamin B12 injections which immediately worked, providing complete relief. Occasionally the pain returns and reminds her it's time for another B12 injection. The injections are easy with a small syringe and tiny needle, and the B12 is injected under the skin twice a week.

There are many more stories of B12 misdiagnosis in Pacholok's book. Nurse Pacholok first describes her own ordeal with pernicious anemia and B12 deficiency which motivated her to become an expert on the topic. Working within the health care system, she was appalled at the numbers of patients with obvious signs and symptoms of B12 deficiency who were misdiagnosed.

Finding the medical system apathetic and unresponsive to her advice about B12 deficiency, Pacholok wrote this book to empower medical consumers and to educate their physicians. Pacholok is on a crusade to change medical practice to routinely screen for B12 deficiency, and her book is one giant step in that direction.

Vitamin B12 deficiency is estimated to affect 10%-15% of individuals over the age of 60 years. 40% of elderly hospitalized patients have low or borderline serum B12 levels, and 50% of long term vegetarians have B12 deficiency.

B12 absorption depends on many cofactors, so it is possible to take adequate amounts of B12 in the diet, and still have a B12 deficiency. Absorption of B12 requires gastric acid, so anything which reduces gastric acid production such as gastric surgery, atrophic gastritis, or antacid drugs could produce B12 deficiency. The very popular antacid drug Prilosec (omeprazole) has been clearly shown to decrease B12 absorption. Other antacid pills such as Prevacid, Protonix, antac, Nexium, Aciphex, Zantec, Tagamet, Pepcid, Maalox, mylanta, reduce gastric acid, inhibit B12 absorption and may produce B12 deficiency. Drugs such as Metformin and other diabetes drugs can cause B12 deficiency. The anesthetic agent, Nitrous Oxide, or "laughing gas", used in dental or surgical procedures causes B12 deficiency

Pernicious anemia is the second most common cause of B12 deficiency. This is an autoimmune disease with loss of Intrinsic Factor, in which antibodies damage the stomach lining interrupting the B12 absorption mechanism.

Other people at risk for B12 deficiency include vegetarians, people with eating disorders such as bulemia and anorexia, inflammatory bowel disease with malabsorption (ie. crohn's).

Auto-immune diseases such as Hashimoto's thyroiditis may be associated with B12 deficiency(pernicious anemia).

Vitamin B12 deficiency can cause unusual neurological symptoms such as tremor, gait disturbance, severe pain, and can mimic MS (multiple sclerosis) or even Parkinson's Syndrome. The physical signs and symptoms can often mimic other diseases and the diagnosis is frequently missed.

B12 deficiency damages the myelin sheath around the nerve fibers, this is a soft fatty insulating material which is also damaged in demyelinating diseases such as multiple sclerosis.

B12 deficiency can cause mental changes such as irritability, apathy, sleepiness, paranoia, personality changes, depression (including post-partum depression), memory loss, dementia, cognitive dysfunction or deterioration, fuzzy thinking, psychosis, dementia, hallucinations, violent behavior, in children; autistic behavior, developmental delay.

B12 deficiency can cause neurological signs and symptoms of abnormal sensations (pain, tingling, and/or numbness of legs, arms trunk or anywhere),diminished sense of touch, pain or temperature (may mimic diabetic neuropathy Charcot foot), loss of position sense, weakness, clumsiness, tremor, any symptoms which may mimic parkinson's or multiple sclerosis, spasticity of muscles, incontinence, paralysis, vision changes, damage to optic nerve (optic neuritis).

Atherosclerotic vascular disease is increased by B12 deficiency including; Coronary artery disease, TIAs, CVA, heart attack, heart failure, claudication, all associated with elevated homocysteine levels caused by B12 deficiency.

B12 deficiency causes Megaloblastic Anemia (enlarged red blood cells with anemia). In this type of anemia, the red blood cells are fewer in number, yet they are larger in diameter (this large size is called megaloblastic and is measured on the CBC with the mean corpuscular volume, MCV). The anemia can cause fatigue, and weakness.

Cervical Dysplasia and increased risk for other dysplasias and cancers are associated with B12 deficiency. B12 supplementation is cancer prevention.

Most doctors do not test for B12, and if they do a test it is the serum B12 which may be unreliable because of the wide normal range. A more accurate test, urinary methyl malonic acid was developed by Eric Norman MD, and is inexpensive and widely available (MMA). The Methyl Malonic Acid MMA is elevated in the urine and serum in patients with B12 deficiency. Pacholok makes the case that everyone presenting for medical care should be routinely screened for B12 deficiency with the MMA, serum B12 and Homocysteine tests.

Treatment is Curative:

Treatment with inexpensive B12 injections or sublingual tablets is curative. Recent work by Kuzminski showed that daily 2 mg. oral B12 serves as well as monthly 1 mg intramuscular B12 injections. Serum Homocysteine is elevated in B12 deficiency. It is important to discover B12 deficiency early, since nerve damage can be irreversible if not discovered right away.

In conclusion, this is the definitive book on B12 deficiency, diagnosis and treatment for the lay reader and for the interested physician. As a result of reading this book, I now routinely test serum B12 and Urinary MMA on ALL patients, and have been surprised to find many symptomatic B12 deficient patients completely missed by the medical system. Needles to say, it is very gratifying to see ill patients completely recover with B12 injections.

I applaud the authors on a job well done, bringing B12 deficiency to the attention of the public, and no doubt saving many lives in the process. This book will make a positive impact on the nations's health, and change medical practice for the better. The only thing I would change about the book is to give Sally a name that is easier to pronounce.

Jeffrey Dach MD

Adrenal Fatigue: The 21st Century Stress Syndrome
Adrenal Fatigue: The 21st Century Stress Syndrome
by James L. Wilson
Edition: Paperback

Adrenal Fatigue by James L Wilson, ND, DC, PhD is unquestionably the definitive work on low cortisol adrenal fatigue, written by the top expert in the field after compiling 2400 medical references. Originally intending to educate physicians about adrenal fatigue, a syndrome currently ignored by mainstream medicine, Wilson changed his mind, and wrote a self-help guide for all of us chronically stressed out members of the "rat race" suffering from this new 21st century epidemic.

Chapter 5, the Signs and Symptoms of Adrenal Fatigue contains humorous illustrations which communicate very clearly in non-technical language the symptoms of fatigue, lethargy, craving of salty foods, hypoglycemic episodes, decreased libido, stress intolerance, light headed upon standing, depression, loss of memory and cognitive decline, and prolonged recovery time from flu-like illnesses, which characterize adrenal fatigue, the net result of years of chronic stress.

In Chapter 7, Wilson explains that adrenal fatigue is not recognized by mainstream medicine because there is no ICD-9 code, and health insurance companies will not pay for diagnosis and treatment without a code. This is perhaps a simplification because the ICD-9 code 255.4 for adrenocortical insufficiency can be used. Wilson goes on to explain that that the only codes and lab tests are for Addison's disease which is complete adrenal failure, so even if testing is done, most people with mild adrenal insufficiency will be told the test results are normal. Thanks to Wilson's efforts to publicize the syndrome, hopefully this is changing.

Chapter 8 contains a lengthy questionnaire which will assist the reader in self-diagnosis.

I found Chapter 10 on physical signs of adrenal fatigue the most useful, describing findings on physical examination such as the unstable pupil, blood pressure reduction upon standing, and Sergent's white line test.

Chapter 11 provides complete coverage of laboratory testing for cortisol levels in saliva, blood, and urine samples, as well as ACTH stimulation. Wilson favors the 4 sample salivary cortisol test as the easiest and most convenient method, with the added advantage that salivary testing can at home without a prescription

The largest section of the book, Part Three, deals with treatment and recovery from adrenal fatigue discussing lifestyle, diet, food allergies, replacement hormones, and supplements, and a discussion of cortisol vs. adrenal cortical extracts.

Adrenal fatigue is the net result of years of continuous high cortisol output by the adrenals caused by chronic stress from job, family, illness, injury, and poor diet and lifestyle associated with high-tech modern living. After years of chronic stress, the two small triangular supra-renal glands poop out, and we become another casualty of adrenal fatigue, the 21st century epidemic. Since mainstream doctors can't seem to help, either ignoring the syndrome, or prescribing anti-depressants for it, this self-help book may be a life-saver. Thank you, Dr. Wilson.

Other books recommended are Safe Uses of Cortisol by McK Jefferies, Hypothyroidism the Unsuspected Illness by Broda Barnes, From Fatigued to Fantastic by Teitelbaum.

Jeffrey Dach MD

Avoiding Breast Cancer While Balancing Your Hormones
Avoiding Breast Cancer While Balancing Your Hormones

by Joseph F. McWherter M.D.

Avoiding Breast Cancer While Balancing Your Hormones by Joseph McWherter MD

Any woman hesitant about hormone replacement because of fear of breast cancer should read this book.

Joseph McWherter MD, an OB/Gyne doctor in Texas with a large natural hormone practice, wrote this book in response to the Women's Health Initiative Study (WHI) published in JAMA in 2002. The WHI Study was halted early because of increased heart disease and breast cancer. As usual, the newspaper headlines were misleading and got the story wrong, failing to mention the important distinction between the unsafe synthetic hormones used in the WHI study, and the safe natural hormones used by Dr. McWherter and many others.

Chapter 2 discusses the causes of breast cancer, namely accumulated DNA damage related to junk food diets, stressful lifestyle, environmental toxins, radiation, hormonal imbalance, and genetic predispositions, etc.

Chapter 3, Estrogen Explained, goes over rather detailed and technical information about the three types of human estrogens (E1,E2,E3) and their metabolism. Also clarified are the differences between synthetic estrogen, natural estrogen, xeno-estrogen and phyto-estrogen.

Chapter 4 is devoted to explaining the WHI Women's Health Initiative Study, and a discussion of the importance of testing estrogen metabolites, namely the 2/16 hydroxy-estrogen ratio. Increasing this 2/16 ratio by consuming broccoli, or with supplements such as I3C and DIM reduces breast cancer risk.

Separate chapters are devoted to exercise, diet, and detoxification, all very detailed and complete. Before studying medicine, Dr. McWherter was a mathematician, and he covers these topics with mathematical precision. The exercise chapter contains actual photos showing how to do each exercise. The diet chapter contains menus and a glycemic index chart. The detoxification chapter includes a questionnaire and 21 day Detox diet.

The real crux of the book, of course, is the hormone chapter in which McWherter discusses natural hormones called Bi-Est and Tri-Est topical preparations. McWherter found that blood testing under treatment usually shows an estradiol level in the 20-50 pg/ml range. On page 140, McWherter reveals startling information about the low incidence of breast cancer in his treatment group. There was only one case of breast cancer in 2,300 women over 5 years on his clinic program. This single case is compared to the 60 cases expected based on the WHI placebo arm data. Needless to say, this is an excellent result.

Chapter 10, Breast Care Nutrients, covers McWherter's Nutritional supplement program to prevent breast cancer, and the first item mentioned is iodine supplementation. Mc Wherter is familiar with the work of Derry and Brownstein on Iodine as the key to breast cancer prevention, and he gives credit to their work. Other supplements such as I3C, DIM and Calcium-D-glucarate are also mentioned.

A final chapter is devoted to breast cancer surveillance and detection with self breast examination, mammography and thermography.

Missing from the book is a chapter discussing heart disease. Suffice it to say that the second arm of the WHI using premarin alone actually showed less heart disease in the premarin treated group, and a recent NEJM study showed less coronary calcification on CAT scan in the premarin treated group. These revelations indicate that estrogen is protective, not causative of heart disease.

In conclusion, McWherter's book serves as an educational tool for his own clinic patients, and provides a glimpse into his program for every one else. I have found the book a valuable resource, and have adopted the breast cancer prevention protocol for my own clinical practice.

McWherter's excellent book sets a very high standard for future authors of natural hormone replacement for women, and the book deserves a prominent place in every medical library. Also recommended is Natural Hormone Balance for Women by Uzzi Reiss MD, Iodine and Breast Cancer Prevention by Derry, and Iodine by Brownstein.

Jeffrey Dach MD

Natural Hormone Balance for Women: Look Younger, Feel Stronger, and Live Life with Exuberance
Natural Hormone Balance for Women: Look Younger, Feel Stronger, and Live Life with Exuberance
by Uzzi Reiss

Natural Hormone Balance for Women by Uzzi Reiss MD

This is currently one of the best books for women who want to know about natural bio-identical hormones for the menopausal symptoms of night sweats, hot flashes, insomnia, weight gain, and foggy mind.

I met Uzzi Reiss at a medical meeting a few years ago, and he mentioned his new book during conversation. After returning from the meeting, I read Suzanne Somers' book in which she mentioned that Uzzi Reiss had been one of her doctors during her long odyssey to find bio-identical hormone replacement. As a gynecologist with a large clinical practice in Los Angeles, Dr. Uzzi Reiss has accumulated a considerable amount of knowledge and experience using natural hormones for women, and Dr. Reiss is one of the few physicians willing to share this knowledge.

Reiss's book provides a practical guide for the safe use of natural hormones, and answers the following questions:

1) When to use natural hormones, when to not use them
2) The difference between unsafe patented synthetic hormones, and the safe natural hormones.
3) Why natural hormones are safe.
4) What route of administration is best, pills, gels, creams, drops, etc.
5) What are your possible responses to each hormone in terms of how you will feel.
6) How to monitor our response and adjust your hormone dosage individually.
7) How to work with your doctor to adjust your hormone dosage for optimal effect avoiding hormone excess symptoms.

Regarding hormone testing:

Dr. Reiss uses blood testing for baseline hormone levels, however, he says: "The heavy reliance on normal-range readings is nothing less than a tragic, medical addiction"

Dr. Reiss's approach:

After a routine history and physical exam, baseline blood hormone levels and a pelvic sonogram, treatment is started at a relatively low hormone dosage, adjusting upward as needed. For the adjustment phase, Dr. Reiss empowers his patients with the knowledge to adjust their individual hormone levels. This is done based on symptoms of hormone deficiency or excess, clearly described in detail in his book, which serves as an educational tool for his patients.

Separate chapters are devoted to Estrogen, Progesterone and Testosterone with very detailed descriptions of symptoms of hormonal deficiency and hormonal excess. Dr. Reiss does not discuss thyroid, leaving that for other authors. Also, there are only limited comments about adrenal fatigue and the problems associated with low cortisol.

A major strength of the book is that Dr. Reiss provides exact hormone dosages and route of administration for his Los Angeles patient population. However, as a matter of practical experience, I have found his starting estrogen dosage somewhat on the high side of the scale for my area of the country, so I would caution the reader about that. Also, Dr. Reiss does not explain why he changed the standard formulation of Tri-Est (10/10/80) to a different unique formulation of Tri-Est gel (0.25E1/ 0.75E2/ 2.75E3). According to most large national compounding pharmacies, the most common formulation is Bi-Est in 0.625 mg to 1.25 mg dosage with (20 E2 / 80 E3) formulation.

In any event, these minor flaws are outweighed by the many strengths of the book which empowers women to learn about natural hormone balance. I applaud Dr. Reiss for providing a valuable public service with a book that should be in every woman's library on natural hormone replacement.

Jeffrey Dach MD

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Curing the Incurable: Vitamin C, Infectious Diseases, and Toxins
Curing the Incurable: Vitamin C, Infectious Diseases, and Toxins
by Thomas E. Levy
Edition: Paperback

A Remarkable Medicine Has Been Overlooked, December 15, 2007
Curing the Incurable, Vitamin C, Infectious Disease and Toxins by Thomas E Levy MD JD

Written with an eloquent flowing style, this book makes the case for Vitamin C as a remarkable medicine that has been overlooked by the medical establishment. Although the crowning achievement of modern medical science is the invention of antibiotics which cures bacterial infections, we have no antibiotics effective for acute viral illness.

Dr. Levy says this is incorrect because Vitamin C is a curative "antibiotic" for viral diseases when used properly in high enough dosage by IM or IV route.

Dr. Levy's book makes a number of points:

1) Vitamin C is not really a vitamin needed in trace amounts, it is needed in large amounts as a co-factor in oxidation-reduction reactions in the cellular biochemistry.

2) All animals, with the exception of primates, have the enzymes to make their own vitamin C. They do not need to consume Vitamin C in their diet, they make their own.

3) All humans (and primates) lack this final enzyme for the manufacture of vitamin C, and therefore we must consume Vit C in our diet. We have a genetic deficiency in GLO gulano-lactone-oxidase, the final step for the manufacture of vitamin C.

4) Because of this genetic defect, we all have a subclinical Vitamin C deficiency making us more susceptible to infectious diseases.

5) The 60 mg dosage RDA for vitamin C is adequate to prevent scurvy but is insufficient for optimal health.

6) Adequate human "Opti-Doses" of vitamin C based on animal studies is in the range of 3-5 grams per day, and this requirement increases during periods of stress or infection.

7) IV or IM Vitamin C in the appropriate dosage ranges has been clinically proven to cure acute viral diseases such as polio, acute hepatitis, measles, mumps, chickenpox, shingles, viral encephalitis.

The most amazing evidence presented in the book is the work of Frederick R Klenner, a doctor in North Carolina who cured 60 of 60 acute polio cases with IM or IV vitamin C and published his findings in Southern Medicine & Surgery, Volume 103, Number 4, April, 1951, pp. 101-107. Klenner wrote more than 20 other publications. Polio vaccine was introduced shortly afterwards, and Klenner's work with Vitamin C was simply ignored.

Because of the unconstitutional FDA ruling which prohibits Vitamin C manufacturers from informing the public, very few people are aware of this research showing the incredible benefits of vitamin C.

Missing from the book is the fact that most commercially available Vitamin C products contain a mixture of unbuffered L and R isomers of vitamin C, an inferior product. The buffered 100% L-ascorbate version of Vitamin C is vastly superior. Also missing from the book is a discussion of the Linus Pauling protocol for prevention of heart disease with Vitamin C, proline and lysine.

I have had numerous conversations about vitamin C with other doctor friends, and colleagues I have known for 25 years, and invariably any comment about Vitamin C is met with ridicule, laughter, and disbelief. Sadly, that is the current state of the medical establishment. Perhaps Dr. Thomas Levy's book will serve to change this, and one day soon, mainstream medicine will embrace a remarkable medicine that has been overlooked.

Jeffrey Dach MD

Breast Cancer and Iodine : How to Prevent and How to Survive Breast Cancer
Breast Cancer and Iodine : How to Prevent and How to Survive Breast Cancer
by Ph.D. Dr. David Derry M.D.
Edition: Paperback

Proposes Iodine as Prevention and Treatment for Breast Cancer, December 14, 2007

Breast Cancer and Iodine by David Derry MD PhD, is a unique 100 page volume which presents the academic case for iodine as prevention and treatment of breast cancer. The book should be handed out freely during October Breast Cancer Awareness Month. Although written for the lay reader, it should be required reading for all medical students, breast surgeons, mammographers, breast cancer oncologists and any doctor who orders mammograms.

With ten pages of medical references including the work of B A Eskin and W R Ghent, Dr. Derry discloses the remarkable connection between iodine deficiency, fibrocystic breast disease and breast cancer. Iodine's anti-cancer activity lies in its control of apoptosis, or programmed cell death.

Derry presents case studies complete with surgical pathology confirmation showing regression of both fibrocystic breast disease and carcinoma-in-situ breast cancer with iodine treatment. He also presents a case report case of infiltrating breast cancer involving the skin which regressed after prolonged application of topical Lugol's iodine solution.

I can report from the experience of my own family members that iodine supplementation causes regression of fibrocystic breast disease.

Derry's ideas in the book could be easily revised into an NIH grant proposal to research and confirm the role of iodine. To do so would advance the nation's health and be a great public service. Iodine is safe, inexpensive and readily available without a prescription. A US policy of iodine supplementation matching the Japanese dietary intake of iodine could very well be our best preventive measure against breast cancer.

Jeffrey Dach MD

Iodine: Why You Need It Why You Can't Live Without It
Iodine: Why You Need It Why You Can't Live Without It
by David Brownstein

This Book Invokes a Renaissance in the Use of Iodine, December 12, 2007

Iodine, Why You Need It and Why You Cant Live Without It by David Brownstein MD is written for the lay reader, however, all health care professionals should find the information useful in clinical practice.

Brownstein says we are in the "Medical Dark Ages" concerning iodine supplementation, and his book attempts to invoke a Renaissance. David Bronstein MD has a clinical practice in the goiter belt of Michigan, and is involved with an ongoing iodine research project with Guy Abraham MD and George Flechas MD.

According to Brownstein, iodine is safe and beneficial, preventing not only goiter, but also preventing the many thyroid cysts, nodules and auto-immune thyroid disease rampant in the population. Iodine is anti-microbial, anti-parasitic, anti-cancer, important for hormone production, reverses fibrocystic breast disease, and shrinks ovarian and thyroid cysts. It may be our most important preventive measure against breast cancer.

The book dispels a number of myths about Iodine supplementation.

Myth number one: There is no iodine deficiency because of Iodized Salt.

The iodine in Iodized salt is not very bio-available, and government surveys show decreasing Iodine levels in the population. Brownstein found that 90% of his patients were iodine deficient based on a 24 urine test for excreted iodine after a 50 mg loading dose.

Myth Number two: Too much Iodine above the RDA of 150 mcg is not safe.

In reality Iodine supplementation is very safe. The average Japanese diet contains 12 mg per day which is 100 times the RDA in the US. In the event of a nuclear power plant accident, the government gives everyone 50 mg. of Iodine to prevent thyroid cancer.

A chapter is devoted to iodine deficiency and fibrocystic breast disease and breast cancer. Brownstein presents case reports of women with fibrocystic disease as well as breast cancer who benefit from iodine supplementation. Another chapter devoted to the thyroid describes patients with Graves' disease and Hashimoto's disease who benefit from iodine supplementation.

Iodine tablets are inexpensive and widely available as a nutritional supplement called Iodoral without a prescription. Another book, Breast Cancer and Iodine, by David Derry MD PhD, is also recommended.

Jeffrey Dach MD

Hypothyroidism Type 2: The Epidemic
Hypothyroidism Type 2: The Epidemic
by Mark Starr MD
Edition: Paperback

 A Sequel to Broda Barnes and a Tribute to Thyroid Medical Pioneers, December 12, 2007

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Hypothyroidism, Type Two by Mark Starr MD is a tribute to many of the great pioneers of thyroid medicine, Broda Barnes MD, Eugene Hertoge, and Lawrence Sonkin MD. The book is a sequel to the Broda Barnes classic on low thyroid and a compilation of evidence that modern lab testing is unreliable for the diagnosis of low thyroid, and the current treatment equally lacking.

Partly to seek treatment for his own musculoskeletal pain, Starr went to New York to study pain medicine with Hans Krauss at Cornell Medical Center. Starr later opened his own pain clinic and quickly realized that the majority of his patients responded to thyroid medication with pain relief.

If you have read the Broda Barnes book, Hypothyroidism, the Unsuspected Illness, you will find many of the same ideas explained and elaborated by Mark Starr's tribute to the earlier work. For example, the definition of Type Two Hypothyroidism is defined as cellular resistance to the action of thyroid hormone.

While thyroid hormone's main action is to increase the size and number of mitochondria, the mitochondrial DNA is highly susceptible to genetic mutations because of maternal transmission.

An unforeseen outcome of the medical victory over infectious diseases with modern antibiotics is the creation of new generations of low thyroid children who in earlier times would have succumbed to childhood infectious diseases. They now survive to adulthood thanks to antibiotics, and according to both Starr and Barnes, later develop heart disease as undiagnosed low thyroid adults.

The book contains fascinating reprints of old medical book photos of patients with low thyroid before and after treatment, and adds a valuable chapter on clinical signs and symptoms of low thyroid. Another chapter covers Starr's area of expertise which is musculoskelatal pain syndromes and their relation to the low thyroid condition. Another useful chapter explains in detail why dessicated thyroid is more effective than the synthetic T4 commonly used by the medical system.

Unlike the Broda Barnes book which was written at the end of a long medical career, Starr's book appears at the relative beginning of his, and one can only wonder what future additional insights he will share after 30 years of medical practice.

Jeffrey Dach MD

Your Thyroid and How to Keep It Healthy
Your Thyroid and How to Keep It Healthy
by Barry Durrant-Peatfield
Edition: Paperback

Excellent Thyroid Book Follows Tradition of Broda Barnes MD, December 10, 2007

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I recommend to you the book by Barry Durrant Peatfield, "Your Thyroid and How to Keep It Healthy". Peatfield was a general practitioner in the British National Health service who came to America and trained at the Broda Barnes Institute. He returned to England and started a thyroid private practice. His book summarizes over 25 years of clinical diagnosing and treating thyroid illness. One section of the book is devoted to the question, "Why thyroid blood tests can be unreliable".

Here is what Dr. Peatfield says:

"Anxiety in the medical establishment about rules and dogma has led to a slavish reliance on blood tests, which are often unreliable and can actually produce a false picture of the true situation"

"I have sadly come across very few doctors who can accept the fact that a normal, or low TSH, may still occur with a low thyroid."

"as a result of this test (TSH), thousands are denied treatment"

Peatfield lists several reasons why thyroid blood tests are flawed:

1) They measure hormone levels in the blood. What we really want to know is tissue levels, not blood levels.

2) The blood tests do not measure cellular receptor hormone resistance.

3) The blood tests do not measure conversion block. Some patients cannot convert their inactive T4 to active T3.

4) The thyroid tests do not account for adrenal insufficiency.

5) Paradoxical low TSH may occur with a low thyroid function.

These sentiments are shared by the teachings of Broda Barnes MD, and the Broda Barnes Foundation. However, Peatfield's book elaborates beyond the classic teachings of Broda Barnes by including chapters on the adrenal as well as a chapter on iodine supplementation. I found this book excellent, and it belongs in every medical library dealing with thyroid disease.

Jeffrey Dach MD

Hypothyroidism: The Unsuspected Illness
Hypothyroidism: The Unsuspected Illness
by Broda Otto Barnes

 A Medical Classic from a Medical Giant which Still Rings True, December 9, 2007

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Hypothyroidism the Unsuspected Illness, by Broda Barnes MD, is a medical classic and should be required reading for every medical student and doctor. I have read the book many times. The book contains the condensed wisdom of a lifetime of research and clinical experience with the thyroid, and it rings true today as it did in 1976. Thyroid blood tests come and go, yet human physiology remains the same.

Broda Barnes estimated that up to 40% of the population suffers from a low thyroid condition and would benefit from thyroid medication. Of course, Barnes' opinion differed with that of mainstream medicine of his time which relied dogmatically on thyroid blood tests to make the diagnosis of low thyroid. Barnes felt the blood tests were unreliable and instead used the basal temperature, history and physical examination. This medical debate regarding unreliability of thyroid blood testing continues today.

Being an astute clinician, Dr. Barnes makes a number of observations about the low thyroid condition. Firstly, low thyroid is associated with a reduced immunity to infectious diseases such as TB. Before the advent of modern antibiotics in the 1940's, most low thyroid children succumbed to infectious diseases before reaching adulthood. Secondly, low thyroid is associated with a peculiar form of skin thickening called myxedema which causes a characteristic appearance of the face, puffiness around the eyes, fullness under the chin, loss of outer eyebrows, and hair thinning or hair loss.

A third observation by Dr. Barnes is that low thyroid is associated with menstrual irregularties, miscarriages and infertility. Barnes treated thousands of young women with thyroid which restored cycle regularity and fertility. In his day, the medical system resorted to the drastic measure of hysterectomy for uncontrolled menstrual bleeding. Although today's use of birth control pills to regulate the cycles is admittedly a far better alternative, Barnes found that the simple administration of desiccated thyroid served quite well. Again, Barnes noted that blood testing was usually normal in these cases which respond to thyroid medication.

A lengthy chapter is devoted to heart attacks and the low thyroid condition. Based on autopsy data from Graz Austria, Barnes concluded that low thyroid patients who previously would have succumbed to infectious diseases in childhood go on years later to develop heart disease. Barnes also found that thyroid treatment was protective in preventing heart attacks, based on his own clinical experience. Likewise for diabetes, Dr. Barnes found that adding thyroid medication was beneficial at preventing the onset of vascular disease in diabetics. Again, blood tests are usually normal.

Dr. Barnes devotes separate chapters in the book to discussion of chronic fatigue, migraine headaches and emotional/behavioral disorders all of which respond to treatment with thyroid medication.

The final chapter describes Dr. Barnes work on obesity when he resided over a hospital ward of volunteer obese patients, and monitored everything they ate. He found that the obese patients invariably ate a high carbohydrate diet, and avoided fat. Barnes added fat back into the menu and reduced the refined carbohydrates and found that his obese patients lost 10 pounds a month with no hunger pangs.

Missing from the book are discussions of Iodine supplementation and the role of the Adrenal, both of which are covered in later updated versions of Barnes thyroid book by other authors. See Hypothyroidism Type Two by Mark Starr, and Your Thyroid by Barry Durrant Peatfield. Iodine supplementation is covered by both Derry and Brownstein. The Safe Uses of Cortisol by William McK Jefferies is the companion medical classic devoted to the adrenals and cortisol.

Jeffrey Dach MD
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Safe Uses of Cortisol
Safe Uses of Cortisol
by William McK. Jefferies

Safe Use of Cortisol is a Unique Medical Classic, December 7, 2007

This review is from: Safe Uses of Cortisol (Paperback)
The Safe Use of Cortisol by William McK Jefferies MD is a medical classic, and along with its companion classic by Broda Barnes, Hypothyroidism, the Unsuspected Illness, both books should be required reading by every medical student and MD and deserve a prominent place in every medical library. I have read both numerous times, and plan to re-read both again.

This book contains a condensation of clinical knowledge from the career of a medical giant, and a wealth of knowledge not found anywhere else, and is complete with references to the medical literature, case histories, laboratory studies and dosages.

In this slim volume, Safe Use of Cortisol, Dr. McK Jefferies points out an important distinction which is not widely known by mainstream doctors or the public. This is the distinction between the lower and completely safe, physiologic doses of cortisol, and the dangerous higher pharmacologic dosage levels commonly used by mainstream doctors to treat rheumatoid arthritis and other auto-immune diseases.

While the lower cortisol doses below 40 mg per day are safe, above this dosage level is increased risk of adrenal suppression, and increased risk of adverse side effects including moon face, osteoporosis with spontaneous fractures, thinning of skin with easy bruising, striae, subcutaneous hemorrhages, fluid retention with edema, and cataracts.

Cortisol is widely available as inexpensive Cortef from the corner drug store, and is the bio-identical hormone secreted by the adrenal gland. Since it is a natural hormone, it cannot be patented, explaining the lack of funding for research by the pharmaceutical companies.

Chapter 4 of the book discusses generally accepted uses of Cortisol, starting with the most logical use which is adrenal insufficiency, also called Addison's disease. However, McK Jefferies also discusses mild adrenal insufficiency, which is not usually recognized by mainstream doctors, and should be. Other uses of low dose cortisol include ovarian dysfunction with infertility, chronic fatigue, allergies and auto-immune diseases.

McK Jefferies relies on the Cortrosyn ACTH stimulation test to evaluate adrenal function, as well as urinary cortisol metabolites and serum cortisol tests. He also addresses thyroid function as part of the overall clinical picture; hence the connection with Broda Barnes and the continued advocacy of McK Jefferies' work by the Broda Barnes Institute.

I found Chapter 5, Gonadal Dysfunction and Infertility, to be the most fascinating and clinically useful chapter. McK Jefferies used low dose cortisol to successfully treat thousands of young women suffering from irregular menstrual cycles, ovarian dysfunction, hirsutism (facial hair, and acne, both signs of elevated testosterone).

Nowadays, teenagers with irregular menstrual bleeding are routinely given birth control pills with synthetic hormones to regulate their cycles. The synthetic hormones in BCPs are associated adverse side effects and do not address the underlying fertility issues.

Unknown to the mainstream medical system, the real treatment for irregular menstrual bleeding is found in this medical classic book, namely low dose cortisol and thyroid which successfully normalizes menstrual cycles and restores fertility. Dr. McK Jefferies suggests that the cause of the infertility and irregular periods in these patients is usually excess adrenal production of either androgen (PCOS) or estrogen, and the low dose cortisol serves to suppress this excess hormone production by the adrenals and allow normal ovarian function.

Now recognized as the most common genetic disorder in the population, (CYP21A2) non-classical 21-hydroxylase deficiency is associated with menstrual irregularities, hirsutism and acne from elevated testosterone. Rather than low dose cortisol, current practice is to use similar low dose dexamethasone (See the 2006 review in J Clin Endo & Metab Vol. 91, No. 11 4205-4214, by Maria I New). Perhaps non-classical 21-OH should be renamed McJefferies Syndrome to give proper credit to this great clinician.

McJefferies stresses that normalization of thyroid function is also required for menstrual regularity and fertility. Broda Barnes agrees with McK Jefferies on the importance of thyroid for normalizing menstrual cycles, and both treat with thyroid medication even though the thyroid blood tests may be completely normal. They have found the blood tests to be unreliable. This is at variance with mainstream medical practice which clings dogmatically to the thyroid blood tests. Most mainstream doctors would refuse to offer thyroid medication unless there is a documented "out of range" lab value.

Chapter 9 deals with using low dose cortisol for viral infections such as influenza. Although there was some initial concern that low dose cortisol would reduce immunity in some way, Dr. Mc Jefferies was surprised to find in clinical practice that his patients maintained on low dose cortisol typically reported fewer common colds and other viral illnesses than their family members, suggesting an enhancement of immunity. Another practice he used was to increase the cortisol dosage when patients felt a common cold or viral influenza coming on. He found that this enabled the patient to ward off or recover from the illness more quickly. Of course, he also points out that excess doses of cortisol would have the opposite effect and impair resistance to infection.

The final chapters of the book discuss the use of low dose physiologic cortisol for rheumatoid arthritis, allergies, auto-immune disease, chronic fatigue.

In addition to the ACTH stimulation tests still in use today, we now have the newer, salivary cortisol testing which I am sure Mc Jefferies would have found useful in his day. What he would have written about the use of salivary cortisol testing ? Unfortunately we will never know. Perhaps a future medical author will build on McK Jefferies work and incorporate salivary testing and other new developments in a future book.

I reviewed the third edition which was published in 2004. The first edition was published in 1983. Other books recommended along side this one are, Adrenal Fatigue by James Wilson, Hypothyroidism, the Unsuspected Illness by Broda Barnes, From Fatigued to Fantastic: by Jacob Teitelbaum, Your Thyroid and How to Keep it Healthy by Barry Durrant Peatfield.

Jeffrey Dach MD