Chronic fatigue and pregnancy - A

[Guest guest]

Hi , Sounds like an interesting case. A few things come to mind here (some of which relate directly to your questions, others not). First, I would add flower essences into her treatment plans. She needs some support along the way to slow down and trust her body and this process- she cannot think her way through this one and she must learn to surrender her control a bit. Second, she is only 29 years old (ie she HAS TIME to make a

baby!), she has been on OCP's for an endocrine issue that was never addressed which likely ties into her fatigue, as may some metal toxicity. My concern is that you are feeling rushed into helping her get pregnant. Pre-natals are great to have on board, but she likely needs vitamin and mineral support to replenish her adrenals, her

thyroid and her ovaries to name a few before you even consider pregnancy protocols. Which leads me to the next bit: Undas in pregnancy. Personally, if I have worked with someone for long enough doing BTG's and drainage I don't worry about Undas in pregnancy. The patient knows how to handle a disturbance to their "normal" and the upheaval is manageable both from your perspective and theirs. If the pregnancy is solid, it won't go anywhere from a typical treatment plan with Undas. From what you have outlined I think this patient is 18 months- 2 yrs away from being ready to conceive ( at least!). So you have some counseling to do, it seems ;)To more directly address your questions, the Undas go deep enough to deal with mercury and other metals, but it takes time with this approach. I don't fuss with chelation per se because I trust that these remedies are clearing out what needs to be moved. Lastly, I love Seroyal's products, but in the

pre-natal department I prefer food based

prenatals. Rainbow LIght and New Chapter are two food based pre-natals. Studies have shown higher rates of fertility in folks on food based pre-natals rather than synthetic. It makes sense. Now... if Seroyal coudl make one for us....! I would love to hear if other folks have food-based formulations they know and trust (?)Hope this helps, Dr. Jeannie Achuff, NDBerkeley, CAOriginsofHealthNaturalMedicine.comSubject: Chronic fatigue and pregnancy - QTo: Date: Monday, September 20, 2010, 1:22 PM

Hey y'all,

I have a 29 yof on the line here. She complains of chronic fatigue of 5-6 yrs duration, pretty much from when she started dental school. (She graduated in 2009, and finished her residency this year.) In general, cycles are out of wack. She can't sleep at night, and drags herself through the day. Before she started OBC, her menses would last 10 days, and she'd go for months between them; she recently stopped OBC because of a desire to become pregnant with her husband. She has subsequently regressed to this past pattern.

Initial treatment with BTGs and 1, 20, 243 helped her improve somewhat, but a switch to 1, 30, 210 to help address anxiety and insomnia resulted in significantly worse fatigue, so I switched to a fairly random but still (I think) good combo: 8, 21, 273, to address cycle irregularity and possible thyroid involvement (her TSH was borderline high on initial blood tests). I'm also planning to put her on Biotone as soon as I get it in the office.

She is very Type-A, driven, and likes to be in control. There's even a standing joke in her family that they just do not tolerate much. (This contributes, I feel, to the fact that I'm consulting with you all now.)

Questions I have many:

- I know we need to use UNDAs with caution in pregnancy. If you have a patient who gets worse on them while pregnant, how do you manage it?

- I'm wondering about environmental exposure, especially mercury since she has been through dental school.(Or is this an unreasonable assumption?)

- How do you handle potential mercury toxicity if you do not do chelation? (Not legal for NDs in Colorado...not even with oral agents.)

- Is there any need for a pre-natal vitamin that might provide more nutrition than what, say, the Genestra Multi B (and a good nutritious diet) would provide? I feel comfortable just recommending that one, but if you have better ideas (within the Genestra/Seroyal/UNDA complex, please), I'm open to 'em.

Isaacs, ND, DC

Littleton, CO

[Guest guest]

Hi , Sounds like an interesting case. A few things come to mind here (some of which relate directly to your questions, others not). First, I would add flower essences into her treatment plans. She needs some support along the way to slow down and trust her body and this process- she cannot think her way through this one and she must learn to surrender her control a bit. Second, she is only 29 years old (ie she HAS TIME to make a

baby!), she has been on OCP's for an endocrine issue that was never addressed which likely ties into her fatigue, as may some metal toxicity. My concern is that you are feeling rushed into helping her get pregnant. Pre-natals are great to have on board, but she likely needs vitamin and mineral support to replenish her adrenals, her

thyroid and her ovaries to name a few before you even consider pregnancy protocols. Which leads me to the next bit: Undas in pregnancy. Personally, if I have worked with someone for long enough doing BTG's and drainage I don't worry about Undas in pregnancy. The patient knows how to handle a disturbance to their "normal" and the upheaval is manageable both from your perspective and theirs. If the pregnancy is solid, it won't go anywhere from a typical treatment plan with Undas. From what you have outlined I think this patient is 18 months- 2 yrs away from being ready to conceive ( at least!). So you have some counseling to do, it seems ;)To more directly address your questions, the Undas go deep enough to deal with mercury and other metals, but it takes time with this approach. I don't fuss with chelation per se because I trust that these remedies are clearing out what needs to be moved. Lastly, I love Seroyal's products, but in the

pre-natal department I prefer food based

prenatals. Rainbow LIght and New Chapter are two food based pre-natals. Studies have shown higher rates of fertility in folks on food based pre-natals rather than synthetic. It makes sense. Now... if Seroyal coudl make one for us....! I would love to hear if other folks have food-based formulations they know and trust (?)Hope this helps, Dr. Jeannie Achuff, NDBerkeley, CAOriginsofHealthNaturalMedicine.comSubject: Chronic fatigue and pregnancy - QTo: Date: Monday, September 20, 2010, 1:22 PM

Hey y'all,

I have a 29 yof on the line here. She complains of chronic fatigue of 5-6 yrs duration, pretty much from when she started dental school. (She graduated in 2009, and finished her residency this year.) In general, cycles are out of wack. She can't sleep at night, and drags herself through the day. Before she started OBC, her menses would last 10 days, and she'd go for months between them; she recently stopped OBC because of a desire to become pregnant with her husband. She has subsequently regressed to this past pattern.

Initial treatment with BTGs and 1, 20, 243 helped her improve somewhat, but a switch to 1, 30, 210 to help address anxiety and insomnia resulted in significantly worse fatigue, so I switched to a fairly random but still (I think) good combo: 8, 21, 273, to address cycle irregularity and possible thyroid involvement (her TSH was borderline high on initial blood tests). I'm also planning to put her on Biotone as soon as I get it in the office.

She is very Type-A, driven, and likes to be in control. There's even a standing joke in her family that they just do not tolerate much. (This contributes, I feel, to the fact that I'm consulting with you all now.)

Questions I have many:

- I know we need to use UNDAs with caution in pregnancy. If you have a patient who gets worse on them while pregnant, how do you manage it?

- I'm wondering about environmental exposure, especially mercury since she has been through dental school.(Or is this an unreasonable assumption?)

- How do you handle potential mercury toxicity if you do not do chelation? (Not legal for NDs in Colorado...not even with oral agents.)

- Is there any need for a pre-natal vitamin that might provide more nutrition than what, say, the Genestra Multi B (and a good nutritious diet) would provide? I feel comfortable just recommending that one, but if you have better ideas (within the Genestra/Seroyal/UNDA complex, please), I'm open to 'em.

Isaacs, ND, DC

Littleton, CO

[Guest guest]

Well stated Jeannie. I agree.She definitely has work to do before considering pregnancy to balance her hormones and create a healthy environment for baby's conception and growth.The menstrual blood is a secondary route of elimination for women which is significantly reduced by the pill. From her history I would suspect toxicity issues.Even if she were in good health otherwise, I would give 3-6 months off the pill doing active drainage protocols before considering conception. In her case she will likely need a year...maybe longer depending on her response to treatment, temperament, and degree of compliance.If she needs "objective proof" you may want to consider an organic acid panel and or ASI/hormonal

testing to show her where things are out of balance...perhaps get her on board with taking it a bit more slowly.I have no qualms about using Undas in pregnancy and have done so on several occasions. Regarding prenatals, I was recently encouraged to re-evaluate their use based on the following advice sent to me by Shiva Barton ND "the difference between prenatals and regular multis are usually high folate and iron, and occasionally elevated magnesium. Iron is not usually needed until the third trimester and can cause increased nausea and constipation, and unopposed Mg can cause GI distress (as you know)...I usually recommend a regular multi with Vit A levels below 5000IU and increased levels of folate, then add the Fe and Mg later"...seems very logical...Good Luck A.

Picard N.D.N.field, RI401*597*0477 To: Sent: Tue, September 21, 2010 12:34:24 AMSubject: Re: Chronic fatigue and pregnancy - A

Hi , Sounds like an interesting case. A few things come to mind here (some of which relate directly to your questions, others not). First, I would add flower essences into her treatment plans. She needs some support along the way to slow down and trust her body and this process- she cannot think her way through this one and she must learn to surrender her control a bit. Second, she is only 29 years old (ie she HAS TIME to make a

baby!), she has been on OCP's for an endocrine issue that was never addressed which likely ties into her fatigue, as may some metal toxicity. My concern is that you are feeling rushed into helping her get pregnant. Pre-natals are great to have on board, but she likely needs vitamin and mineral support to replenish her adrenals, her

thyroid and her ovaries to name a few before you even consider pregnancy protocols. Which leads me to the next bit: Undas in pregnancy. Personally, if I have worked with someone for long enough doing BTG's and drainage I don't worry about Undas in pregnancy. The patient knows how to handle a disturbance to their "normal" and the upheaval is manageable both from your perspective and theirs. If the pregnancy is solid, it won't go anywhere from a typical treatment plan with Undas. From what you have outlined I think this patient is 18 months- 2 yrs away from being ready to conceive ( at least!). So you have some counseling to do, it seems ;)To more directly address your questions, the Undas go deep enough to deal with mercury and other metals, but it takes time with this approach. I don't fuss with chelation per se because I trust that these remedies are clearing out what needs to be moved. Lastly, I love Seroyal's products, but in the

pre-natal department I prefer food based

prenatals. Rainbow LIght and New Chapter are two food based pre-natals. Studies have shown higher rates of fertility in folks on food based pre-natals rather than synthetic. It makes sense. Now... if Seroyal coudl make one for us....! I would love to hear if other folks have food-based formulations they know and trust (?)Hope this helps, Dr. Jeannie Achuff, NDBerkeley, CAOriginsofHealthNaturalMedicine.comSubject: Chronic fatigue and pregnancy - QTo: Date: Monday, September 20, 2010, 1:22 PM

Hey y'all,

I have a 29 yof on the line here. She complains of chronic fatigue of 5-6 yrs duration, pretty much from when she started dental school. (She graduated in 2009, and finished her residency this year.) In general, cycles are out of wack. She can't sleep at night, and drags herself through the day. Before she started OBC, her menses would last 10 days, and she'd go for months between them; she recently stopped OBC because of a desire to become pregnant with her husband. She has subsequently regressed to this past pattern.

Initial treatment with BTGs and 1, 20, 243 helped her improve somewhat, but a switch to 1, 30, 210 to help address anxiety and insomnia resulted in significantly worse fatigue, so I switched to a fairly random but still (I think) good combo: 8, 21, 273, to address cycle irregularity and possible thyroid involvement (her TSH was borderline high on initial blood tests). I'm also planning to put her on Biotone as soon as I get it in the office.

She is very Type-A, driven, and likes to be in control. There's even a standing joke in her family that they just do not tolerate much. (This contributes, I feel, to the fact that I'm consulting with you all now.)

Questions I have many:

- I know we need to use UNDAs with caution in pregnancy. If you have a patient who gets worse on them while pregnant, how do you manage it?

- I'm wondering about environmental exposure, especially mercury since she has been through dental school.(Or is this an unreasonable assumption?)

- How do you handle potential mercury toxicity if you do not do chelation? (Not legal for NDs in Colorado...not even with oral agents.)

- Is there any need for a pre-natal vitamin that might provide more nutrition than what, say, the Genestra Multi B (and a good nutritious diet) would provide? I feel comfortable just recommending that one, but if you have better ideas (within the Genestra/Seroyal/UNDA complex, please), I'm open to 'em.

Isaacs, ND, DC

Littleton, CO