341 internautes sur 351 ont trouvé ce commentaire utile
Mother and Neuro-therapist from Oxfordshire
- Publié sur Amazon.com
Thank you, thank you, Dr Teitelbaum. Here is THE definative work on M.E. CFS & Fibromyalgia.
I have been a sufferer for a great many years and am now well enough to help others in my neuro-therapy clinic. If there is a single book I reach for most often it is this one. The updated 2007 version is outstanding. Thorough, broad ranging, expert, clinically tested treatments that cover the board and are presented in a way which empowers the M.E/CFS sufferer to treat themselves or work with their doctor.
Dr Teitelbaum advocates the SHIN protocol. Actually I would suggest it should be called the SHINE protocol. Here are the stages and what each letter stands for:
S = sleep. Without 8-9 hours of good quality deep sleep a night the body cannot heal. This is the foudnation stone. And Teitelbaum is deadly serious about getting this right. Many pages cover every conceivable issue and long lists of useful supplements and medications to get you there. My sleep was truly awful. I reckoned that no doctor could help it and gave up after a few attempts at sleeping pills (hang-over, side effects, useless etc. But this section of the book gets you back on track. It WILL help you learn how to get back that missing sleep.
H = hormones. They're all discussed here in a rational intelligent way. DHEA, Thyroid, Adrenals, Estrogen, Progesterone, Testosterone and a few little extras. He is passionate about which hormones need testing and the PROPER tests to do. How to interpret the results, or indeed how to trial the supplements without tests. Which type of each hormone to use, the dosage, the test ranges to aim for, the possible complications, the safety issues (bio-identical hormones are way safer than pharmaceutical ones), where on his website to read more and WHY hormone replacement is so very critical to healing.
I = Immune and Infections. Lots of people with M.E /fibromyalgia have lots of infections. There's a big chapter on how to deal with these - from parasites to bacteria, from viruses to candida. There is an emphasis on natural treatments but he also uses antivirals and antibiotics where indicated. Also an emphasis on getting the immune system back up and running - essentially balancing it out again
N = Nutrition. This is basically why and how to supplement with lots of good nutritional pills. Lots of great discussion on why certain minerals and vitamins are important in M.E - each one discussed in detail and the dosage etc. Although this is the section that is often covered in other books on the disease, Teitelbaums version is superior in my opinion because it is based on experience with tens of thousands of patients and their actual outcomes.
Finally, I think Teitelbaum should add an E to the end of his SHIN protocol and call it SHINE, because
E = Energy. The very first chapter of the book is about how to get the mitochondria - the cells little powerhouse - working again and thereby give your body, your heart and your brain more energy. Essential, of course. The big new thing out there - and Dr T is crazy for it - is D-Ribose. He discusses how much to use, how it is the single most powerful tool in his clinic and what sort. Additionally he advocates Co Q 10, Acetyl L carnitine and Malic Acid/Aspartate for energy.
About half of the book is taken up with the SHINE protocol in a way that is highly user friendly whilst also in depth. The second half is:
a) A serious look at additional treatments for M.E/Fibro out there, including the Shoemacker work on Neurotoxins (an important one), Dr Berg protocol for blood clotting and a BIG section on Pain Relief. He's good on pain. He really gets it and attacks it with vigour and intelligence.
b) Lots of Resources, where to buy stuff, how to diagnose yourself with various sub-groups, internet resources, psychological issues relating to M.E, spiritual (in the broadest sense) support that helps healing, and good usable lists of supplements for various categories.
I cannot praise this book too highly. Dr Teitelbaum and his clinic have conducted the only blind, placebo controlled published study for an integrated medicine approach to M.E/Fibromyalgia. And it was a huge success. He draws on great and deep experience in the field and writes with compassion and understanding. But also with a strong grounding in science and proof of efficacy. There are other approaches out there which make good adjuncts to this one - but if you can only have one then, WITHOUT A DOUBT it should be this book.
Just a few extra tips/resources.
If you do want to follow the natural remedies recommended then there is no better one-step shop for everything you could want than [...] There are the cheapest and largest on the net
If you feel you have no choice but to go the pharmaceutical route and feel that you cannot find or afford a doctor who will prescribe for you (I am not advocating this, merely respecting that this is a reality for many) then the best no-prescription pharmacy that I know of on-line is [...] They have never let down anyone that I know of over the past five years, their stuff is always the real thing and they are extrememly cheap and fast. There is pretty much nothing in the book (medicine wise) which you cannot get yourself from this company. A subsidiary one is [...]
If this you follow the Teitelbaum progamme really seriously for several months but make no significant progress then I would bet these are you two next best options (they are the areas T is least stong on)
1) Gut involvmet. The gut plays a huge role in immunity, toxicity and even brain health. See "Gut and Psychology Syndrome" on Amazon.
2) Toxins. I do not know of a one stop shop for how to really deal with a toxic overload in the body. But I tend to use those protocols designed for autism - as many autistic children have an immune and central nervous system (CNS) collapse due to toxic overload. And some forms of M.E/CFS/Fibro are essentially just and immune/CNS collapse syndrome.
Finally there are two psychological therapies for CFS in the United Kingdom that have significant effect for many sufferers. The first is Mickel Therapy - check it out on Google or YouTube. The second is Gupta Amygdala retraining. These therapies in NO WAY suggest that CFS/M.E/Fibro is a psychological disease. But rather that processes in the mind affect the body and vice versa.
After some pause writing this I would say that if you have these diseases the first two things in the world that you should do are
a) Buy this book
b) Look up Gupta Amygdala retraining on YouTube. It is pretty much free to view and learn the main bulk of his outstanding work on how deep parts of the limbic system interact with our thoughts and keep the brain and immune system in a state of alarm. Brillian stuff and virtually free.
If you want to take it deeper - or you know you have a toxin issue/lots of neurological symptoms/lots of gut and digestion problems then proceed to
c) Gut and Psychology Syndrome book
d) [...] books on autims esp Healing Childhood Epidemics by Bock on Amazon
c) Look up some of the stuff currently around on chronic Lyme (which often mimics M.E)
But buy this book first and foremost. About 70% of you poor fellow suffers will never need to look any further.
My warm best wishes to you all and best of luck.
239 internautes sur 248 ont trouvé ce commentaire utile
Jeffrey Dach MD
- Publié sur Amazon.com
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
159 internautes sur 165 ont trouvé ce commentaire utile
- Publié sur Amazon.com
The second edition of From Fatigued to Fantastic was the best discussion of fibromyalgia treatment, until the current third edition was printed. Please read my review of the second edition of this book, in addition to this review.
Even if you have already read the second edition, you will find considerable new information in the latest edition. The third edition contains new sections discussing:
increasing energy with Ribose;
an enlightening discussion of the dangers of Premarin and progestins, in comparison to bioidentical hormone replacement;
new antiviral treatments, including Nexavir and Valcyte;
extensive information concerning sleep apnea and CPAP treatment;
information explaining how to win a disability claim;
a succinct, comprehensible, streamlined explanation of the Shoemaker protocols, for testing and treatment of Lyme Disease and other neurotoxic illnesses, which are often the cause of fibromyalgia and chronic fatigue syndrome.
Updated information concerning prevalence of Ambien triggered sleepwalking;
and using theanine and magnolia extracts to lower anxiety.
Some of the treatment protocols have been moved to an appendix, labled "for physicians," which makes the remainder of the book more readable for nonphysicians, but the physician section, is comprehensible to well read laymen.
The infectious disease section deals with the causes of fibromyalgia and their treatment. Dr. Teitelbaum observes that Immunoglobin G titers for Epstein Barr Virus frequently decrease with antiviral treatment.
Teitelbaum provides an integrated, comprehensive nutritional, hormonal, herbal and pharmaceutical treatment approach to fibromyalgia. He is very aware of the costs of testing, nutrients, herbals, prescription and nonprescription drugs and often suggests less expensive diagnostic and treatment protocols, realizing many fibromyalgia patients have been bankrupted and lost health insurance coverage, due to this illness.
Dr. Teitelbaum is quick to credit or acknowlege the contributions and effective testing and treatment protocols of other leading researchers and practitioners, and this book contains contact information for some of them.
I have never seen a fibromyalgia patient who did not experience at least some improvement, with at least one of the treatments recommended in this book. Many of these fibromyalgia patients had consulted dozens of practitioners, in an agonizing, frustrating seven or eight year quest for treatment and experienced no improvement, prior to following treatments recommended in this book. Treatment of the thyroid, testosterone, estradiol, progesterone and DHEA hormonal deficiencies often produces rapid relief of some of the fatigue, anxiety, insomnia and pain.
Clinical testing of fibromyalgia patients, at Florida Detox, has confirmed many of the hormonal and nutritional deficiencies, hypercoagulopathies, allergies, and infections causing fibromyalgia, including viruses, fungal overgrowths, and Lyme Disease, which are discussed in this book.
The exceptions I would take to this book concern use of Xanax, Klonopin, Gabatril and Ultram. Ultram, in particular, appears to be far more addictive than published literature indicates and Ultram withdrawal is severe. Xanax is one of most difficult addictions to treat. Klonopin is one of the three most difficult addictions to treat. With skilled use of Jacob Teitelbaum's protocols, almost all insomnia should be treatable, without using Klonopin or Xanax. In patients with anxiety disorders, Xanax does not appear to offer any advantage over longer half life benzodiazepines, including Klonopin and Valium, while it does allow anxiety to peak, two to four times daily, due to the short half life.
Although Gabatril is very effective for anxiety and insomnia, the slight risk of seizures can prevent Physicians from prescribing Gabatril to anyone who operates a motor vehicle or is alone, for more than a few minutes.
162 internautes sur 176 ont trouvé ce commentaire utile
- Publié sur Amazon.com
Before I embark on a critique of one of the better known icons of pop medicine, I should begin by saying that I have followed Dr. Teitelbaum's career for many years, and have read most of what he has written. And lest you doubt my credentials, I was diagnosed with CFS 20 years ago by one of the giants of the field, Dr. Cheney. I have also written a book on the topic of CFS treatments, which required a great deal of medical research.
What is apparent from Dr.Teitelbaum's book is that it is not actually geared toward patients with CFS or FM (which are two distinct conditions), but for those with an amorphous entity known as "fatigue." On page 6 of his book (2007 edition), Dr. Teitelbaum states that if you have unexplained fatigue and any TWO of the following symptoms: "brain fog, poor sleep, diffuse achiness, increased thirst, bowel dysfunction and/or recurrent and/or persistent infections or flu-like feelings," then you probably have CFS. This means that only three symptoms need be present. I am not sure how Dr. Teitelbaum derived this simplified definition. It does not correspond to the CDC criteria (which are on the next page) nor to any of the other case definitions developed since 1994. Nor does it correspond with anything written by established researchers and clinicians, even the broadest of which requires at least six symptoms (which is still on the short side). Moreover, it is irresponsible to lead people to believe that with only three symptoms they "probably" have any illness (most of which generate more than three symptoms), let alone CFS, which produces symptoms by the dozen.
Later, when Dr. Teitelbaum attempts a more in-depth description of CFS, he attributes post-exertional malaise to faulty energy production. True enough. But when he suggests in the next sentence that lack of exercise leads to "deconditioning" and recommends ten weeks of walking, he is undercutting his own argument. There are no studies that show that ten weeks, or any other amount of walking, increases ATP in people with CFS. (However, exercise does help people with fibromyalgia, which, again, is not the same illness.) On the contrary, there are several studies that show that graded exercise is the one form of therapy that consistently makes people with CFS (CFIDS) feel worse.
There are many problems with Dr. Teitelbaum's treatment protocol as well. Improving autonomic function, hormone imbalances, and immune system dysregulation is all well and good. The problem is that he uses every medication known to mankind. For improving sleep, he not only includes every herbal and natural sleep aid, he also prescribes all of the hypnotics, all of the sedating antidepressants, and all of the minor tranquilizers. What else is there? It's like throwing the PDR at a patient, which is not a useful approach for treating any illness, let alone one as complex as this one. That being said, for those who are unfamiliar with natural treatments, he does include all of them. The problem is that he includes too many, the dosages are, in general, too high, and he adds them too quickly. To treat CFIDS, all medications (whether nutritional or pharmaceutical)should be started at extremely low doses (many CFIDS patients are exquisitely sensitive), should be given one at a time (to test for tolerance), and should be spaced out over long periods of time (effects may be long in coming). The breakneck pace with which Dr. Teitelbaum adds medications, the number be gives and the combinations are in excess of what patients with CFS can tolerate, and this could provoke relapse.
Some of Dr. Teitelbaum's suggestions, unfortunately, are downright dangerous. While low thyroid function is indeed a consequence of HPA axis (endocrine) dysfunction in CFS patients, treating them with high-dose T3 (Cytomel) is very ill-advised (p 101). My daughter has thyroid disease, and she doesn't take a tenth of what Dr. Teitelbaum suggests. There is a simple reason for this. If she did, she would have a heart attack. (This is, in fact, what happens with abrupt high-doses of T3.) What is Dr. Teitelbaum's advise based on? An endocrinologist? A biochemist? It is based on the "work" of John Lowe, a chiropractor. (According to his website, Lowe holds an MA in general psychology and "voluntarily" surrendered his clinical license in two states.) Apart from the dubious nature of the source, there is not one single medical study in the PubMed database to support this course of treatment.
On close examination, Dr. Teitelbaum seems to base many of his more outlandish treatments on "research" gleaned from questionable sources. Although the basic components of CFS are all there - mitochondrial impairment, HPA axis suppression, immune dysfunction - Dr. Teitelbaum has completely missed the boat on sensible treatment. Ultimately, I believe this lack of awareness is due to a very poor understanding of CFS (and a very good understanding of how to market a book. If nothing else, Dr. Teitelbaum is an excellent businessman). Unfortunately, many second-rung "alternative" physicians are employing Dr. Teitelbaum's book as if it were a cookbook for treating CFS. I can only say that following his advice, as written, is a recipe for disaster.