Nutritional Medicine (First Edition)

1384 Pages·2011·187.844 MB·English

by  Alan Gaby MD

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NUTRITIONAL
MEDICINE
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NUTRITIONAL
MEDICINE
Alan R. Gaby, M.D.
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Fritz Perlberg Publishing
Concord, NH
www.doctorgaby.com
NUTRITIONAL MEDICINE
By Alan R. Gaby, M.D.
Copyright © 2011
All rights reserved. No part of this book may be reproduced in any form or by any means, including photocopying, or
stored in a retrieval system. or transmitted in any form by any means, without written permission of the copyright owner.
WARNING/DISCLAIMER FOR NON-PRACTITIONERS: The information provided in this book is for educational
purposes only, and should not be construed as personal medical advice or instruction. No action should be taken based
solely on the contents of this book. Readers should consult appropriate health professionals on any matter relating to their
health and well-being. Readers who fail to consult appropriate health authorities assume the risk of any injuries. The
author and publisher are not responsible for errors or omissions.
WARNING/DISCLAIMER FOR PRACTITIONERS AND NON-PRACTITIONERS: While extensive efforts have
been made to assure the accuracy of the information provided herein, the possibility of errors, omissions, and misinter-
pretations cannot be ruled out. The reader is therefore advised to consult, whenever possible, the cited references for
verification. Because of constant changes resulting from ongoing research and clinical experience, some of the informa-
tion presented may not be current. The author and publisher are not responsible (as a matter of product liability, negli-
gence, or otherwise) for any injury resulting from any material contained herein. The information in this book should not
be construed as specific instructions for individual patients. Practitioners should exercise appropriate judgment when
making clinical decisions. Manufacturers’ product information and package inserts should be reviewed for current infor-
mation, including contraindications. dosages. and precautions. The dosages listed in this book for various therapeutic
substances are, in general, dosages for adults, unless otherwise specified.
Note: Errata will be posted at www.doctorgaby.com. If you detect an error, please send an email to [email protected].
ISBN-13: 978-0-9828850-0-0
ISBN-10: 0-9828850-0-8
To purchase additional copies of this book, visit www.doctorgaby.com, or call 603-225-0134. or write to Nutritional
Medicine, 12 Spaulding Street, Concord, NH 03301.
Published by Fritz Perlberg Publishing, Concord, NH.
Dedication
This book is dedicated to my father, Samuel D. Gaby, M.D., who
helped me find my way and facilitated my journey.
My father was an accomplished general surgeon. He taught me the
value of hard work, contemplation, and compassion; and to have
respect for the human body.
Acknowledgments
Roger Williams, Ph.D., Linus Pauling, Ph.D., Abram Hoffer, Ph.D.,
M.D., and Carleton Fredericks, Ph.D., whose pioneering work and
writings sparked my interest in the field of nutritional medicine.
Jonathan V. Wright, M.D., who served as my mentor and shared
his vast body of knowledge.
The thousands of scientists and practitioners whose research and
clinical observations made this book possible.
My wife, Beth Gaby, N.D., who proofread the manuscript and
made many valuable suggestions, and who supported me through
the long process of creating this book.
Tamberlyn Blinsink, N.D., and Angila Jaeggli, N.D., who proof-
read the manuscript and made many valuable suggestions.
Fritz Perlberg and Bonnie Raindrop, who for more than 25 years
provided encouragement and helpful ideas that helped me bring
this work to completion.
Foreword (Bill Manahan, M.D.) el 3) Silicon 176-177
Foreword (Jonathan V. Wright, M.D.) Xiil 38 Boron 178-179
Introduction XV 5M) Molybdenum 179-180
40 Nickel 181
Part 1. FUNDAMENTALS OF NUTRITIONAL
MEDICINE
Part 2C. AMINO ACIDS
Overview of nutritional medicine 1-3 41 L-Arginine 182-184
Fundamentals of diet 3-8 42 L-Glutamine 184-185
Sucrose and high-fructose corn syrup 8-10 43 L-Lysine 186-187
Food additives 10-14 44 L-Methionine 187-189
Cooking and storage of foods 14-18 45 Phenylalanine 189-191
Reactive hypoglycemia 19-23 46 Taurine 191-192
Food allergy 23-28 47 L-Tryptophan 192-195
Hypothyroidism 28-40 48 5-Hydroxytryptophan (5-HTP) 195-196
WONmC anAdidAiaNsisN D(CaNndFida -related 49 L-Tyrosine 196-198
complex) 40-46
10 Orthomolecular medicine 46-49 Part 2D. OTHER THERAPEUTIC AGENTS
50 Acetyl-L-carnitine 198
Part 2. THERAPEUTIC AGENTS
51 N-Acetylcysteine 199-200
Introduction to therapeutic agents 51-52
52 Azelaic acid 200-201
53
Part 2A. VITAMINS Betaine 201-202
54
11 Vitamin A 533-59 Carnitine 202-205
12 Beta-carotene 60-62 55 Coenzyme Qio 205-207
13 Thiamine 62-66 56 Dehydroepiandrosterone (DHEA) 208-211
14 Riboflavin 66-68 57 Dietary fiber 211-214
15 Vitamin B; Goo. 58 Flavonoids 214-216
16 Folate (folic acid) 72-18 59 Selected herbal remedies 216-219
17 Pantothenic acid 78-79 60 Inositol 219-221
18 Vitamin Be 80-87 61 Inositol hexanicotinate 221
19 Biotin 87-89 62 Alpha-lipoic acid 222-223
20 Vitamin Bj> 89-96 63 Lutein and zeaxanthin 223
64
21 Choline 97-99 Lycopene 224-225
65
22 Vitamin C 99-108 Melatonin 225-226
23 Vitamin D 108-117 66 Omega-3 fatty acids 227-230
24 Vitamin E 117-125 67 Omega-6 fatty acids 230-234
25 Vitamin K 125-129 68 Pantethine 234-235
69 Para-aminobenzoic acid (PABA) 235-236
Part 2B. MINERALS 70. Probiotics 236-238
26 Calcium 129-134 71 S-Adenosylmethionine (SAMe) 238
27 Magnesium 134-140
28 Potassium 141-143 Part 3. CARDIOVASCULAR DISEASE
239-244
29 Sodium 144-145 ie Angina pectoris
244-245
30 Iron 145-151 site. Aortic aneurysm
245-250
Sis Zine 151-158 74 Arrhythmias
32 Copper 159-162 75 Atherosclerosis and ischemic heart
33 Chromium 163-165 disease 250-274
34 Selenium 166-169 76 Cardiac arrest 274-275
35. Manganese 169-172 77 Cardiovascular risk factors:
36 Iodine 172-176 cholesterol 275-288
v1 CONTENTS
78 Cardiovascular risk factors: Flatulence and flatus 424-425
triglycerides 289-291 Gastrointestinal bleeding 425
79 Cardiovascular risk factors: Pruritus ani 425-426
homocysteine 291-295 Rectal bleeding 426-427
80 Cardiovascular risk factors: Rectal pain 427
C-reactive protein 295-298 Vomiting 427
8 Cardiovascular risk factors: platelet 110 Gastroparesis (delayed gastric
oo
aggregation 298-304 emptying) 428-430
82 Other cardiovascular risk factors 304-310 111 Hemorrhoids 430-431
Lipoprotei(na ) 304-305 112 Hypochlorhydria 432-435
Fibrinogen 305-306 113 Irritable bowel syndrome 435-440
Fibrinolysis 306-308 114 Lactose intolerance 440-44]
Hemorrheology and blood viscosity 308-309 115 Non-ulcer dyspepsia 441-444
83 Congestive heart failure and dilated 116 Pancreatitis 444-448
cardiomyopathy 311-322 117 Peptic ulcer 448-458
84 Hypertension 323-335 118 Proctitis 458-460
85 Hypertrophic cardiomyopathy 335-336 119 Ulcerative colitis 460-467
86 Intermittent claudication 336-340 120 Other gastrointestinal conditions 468-473
87 Mitral valve prolapse 340-342 Anal fissure 468
88 Myocardial infarction 342-348 Brown bowel syndrome 468
89 Postural hypotension (idiopathic) 348 Dumping syndrome 468-469
90 Raynaud’s disease /phenomenon 349-351 Dysphagia 469
91 Stroke 351-353 Eosinophilic esophagitis 469-470
92 Thrombophlebitis and deep vein Esophageal spasm 470
thrombosis 353-357 Familial adenomatous polyposis 470-471
93 Venous insufficiency and varicose Fecal incontinence 47]
veins 357-359 Intestinal pseudo-obstruction 471-472
Rectocele 472
Part 4. PULMONARY DISEASES
Tropical sprue 472
94 Adult respiratory distress syndrome 361
95 Asthma 362-374 Part 6. LIVER DISEASES
96 Chronic obstructive pulmonary 121 Cirrhosis 475-481
disease 374-380 122 Hepatitis 481-487
97 Idiopathic pulmonary fibrosis 380-381 123 Liver transplant 488
98 Pulmonary hypertension 381-382 124 Nonalcoholic fatty liver disease 488-495
99 Other pulmonary disorders 382-384 125 Primary biliary cirrhosis 495-498
Bronchiectasis 382-383
Part 7. NEUROLOGY
Cough 383
126 Akathisia 499-500
Pulmonary hemosiderosis 383
127 Amyotrophic lateral sclerosis 500-503
Recurrent respiratory papillomatosis 383
128 Ataxia 503-507
Sarcoidosis 384
129 Carpal tunnel syndrome 508-510
Part 5. GASTROENTEROLOGY 130 Cluster headache 510-511
100 Celiac disease 385-391 131 Epilepsy 511-522
101 Colic 391-393 132 Headache (excluding cluster,
102 Constipation 393-397 migraine) 522-524
103 Crohn’s disease 397-408 Tension-type headache 522-523
104 Diarrhea, chronic 408-411 Spinal headache 523
105 Diverticular disease 411-413 Hemicrania continua 523
106 Gallstones 413-418 Idiopathic stabbing headache 523
107 Gastritis, chronic 418-419 Post-transplant headache e235
108 Gastroesophageal reflux disease 420-422 133 Huntington’s disease 524-525
109 Gastrointestinal symptoms 134 Idiopathic facial paralysis (Bell’s
(nonspecific) 422-428 palsy) 525-526
Abdominal pain 422-423 135 Infantile spasms (West syndrome) 526-527
Belching 423-424 136 Migraine 527-536