Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high...
Transcript of Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high...
![Page 1: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/1.jpg)
YOUR LOGO
Case Studies in High Oxalate
1
Copyright© 2019. Health Training Associates, LLC. All rights reserved.
(Advanced OAT Mastery Course Bonus Lecture)
![Page 2: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/2.jpg)
YOUR LOGO
DisclaimerThe material contained within this document/presentation and subsequent support
documents for the Advanced OAT Mastery Course (AOAT) is not intended to replace the services and/or medical advice of a licensed health care practitioner, nor is it meant to encourage diagnosis and treatment of disease. It is for health education purposes only based on the clinical experiences of its authors. Health Training Associates, LLC., Kurt N.
Woeller, D.O., Tracy Tranchitella, N.D. or any of its associates and members do not accept legal responsibility for any problems arising from your personal experimentation with the health education information described herein. Any application of suggestions
set forth in the following portions of this document/presentation and other support documents of the AOAT (or other courses from Integrative Medicine Academy) is at the
reader/listener’s discretion and sole risk. As a health practitioner you are solely responsible for implementing treatment strategies for your patients or clients.
Implementation or experimentation with any supplements, herbs, dietary changes, medications, and/or lifestyle changes, etc., discussed in this course, including support
documents and member forum, is done so at your sole risk. As an individual you accept full responsibility for using/implementing any health education information discussed in this course and understand that experimentation with supplements, medications,
herbs, dietary changes, etc. needs to be discussed with your (or your child’s) personal physician first.
2
![Page 3: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/3.jpg)
YOUR LOGO
Some Oxalate Levels Can Be Extremely High
Likely soy consumption?
3
Oxalate
2016
![Page 4: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/4.jpg)
YOUR LOGO
Glycolic4
Glycolic
Oxalic
390
190
Arabinose 95
![Page 5: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/5.jpg)
YOUR LOGO
Very Low Vitamin B6
5
0.00
![Page 6: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/6.jpg)
YOUR LOGO
High Oxalate + Low Glycolic
6
359
20
![Page 7: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/7.jpg)
YOUR LOGO
High OxalateA Case of Chronic Pain
7
![Page 8: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/8.jpg)
YOUR LOGO
• 43-year old female
• Chief complaints: pressure headaches, fatigue, brain fog, body aches, and tendon pain. Cyclical urinary pain (sharp). Digestive discomfort (bloating, painful bowel movements).
• PmHx: Blastocystis and Cryptosporidium, Raynaud’s, Irritable Bowel Syndrome (IBS).
• Meds: Ibuprofen, Atarax (for suspected interstitial cystitis).
• Food reactions – notices severe muscle pain when eats nuts and vegetables.
8
![Page 9: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/9.jpg)
YOUR LOGO
Mildly High Arabinose, But Normal Clostridia Markers
9
51
![Page 10: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/10.jpg)
YOUR LOGO
399
10
![Page 11: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/11.jpg)
YOUR LOGO
1. Low oxalate diet – resource material
2. Prioritized to avoid – spinach (and other high oxalate veggies), soy products, nuts and berries.
3. Cal/Mag Citrate – 2 capsules with each meal
4. VSL#3 (now Visbiome) – 2 capsules daily
5. Vitamin B6 – one tablet daily, e.g. 50mg
6. Epsom Salt Baths – 4+ times weeks (2 cups of Epsom Salt in bath water, if tolerated).
Low Oxalate Program
11
![Page 12: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/12.jpg)
YOUR LOGO
High Oxalate
Low oxalate diet over a 3-months completely resolves bladder pain, and improves tendon and muscle pain by 80%. Bowels are more
regular and non-painful, and Raynaud’s improved as well. Still dealing with pressure headaches, and some fatigue, but better overall.
She is feeling encourage by results of low oxalate diet, but unwilling to retest OAT to evaluate new level of oxalate.
12
399
![Page 13: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/13.jpg)
YOUR LOGO
Normalization of High Oxalate and Chronic Candida
Consistent and ongoing botanical antimicrobials, anti-candida and low
oxalate diets
13
![Page 14: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/14.jpg)
YOUR LOGO14
Yeast and Fungus
![Page 15: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/15.jpg)
YOUR LOGO
• Dietary control through eliminating reactive and toxic foods
• Improving digestive system health and microbiome diversity
• Eradicating opportunistic infections such as parasites, bacteria, including clostridia bacteria.
• Identifying and elimination of gut colonization of mold
• Eliminating or reducing environmental toxin exposures such as chemicals and heavy metals.
• Consistent and ongoing antifungal intervention through medication and/or botanical remedies.
Keys To Chronic Candida Intervention
15
![Page 16: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/16.jpg)
YOUR LOGO
January 9, 2015
16
110
291
![Page 17: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/17.jpg)
YOUR LOGO
March 30, 2015
17
95
313
![Page 18: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/18.jpg)
YOUR LOGO
June 23, 2015
18
79
252
![Page 19: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/19.jpg)
YOUR LOGO
December 21, 2015
19
13
53
![Page 20: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/20.jpg)
YOUR LOGO
• Digestive bloating and gas
• High food intolerance
• Problems with sinus congestion and infections
• Loose stools mixed with periodic constipation
• Difficulty sleeping, poor memory, anxiety
• Fatigue, even with moderate activity
• Urinary discomfort described as burning after eating salads and certain nuts.
• Constant soreness in muscles and joints
Case Example 1
20
![Page 21: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/21.jpg)
YOUR LOGO21
422
65
Arabinose
Example 1
![Page 22: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/22.jpg)
YOUR LOGO22
217
258
48
Example 1
![Page 23: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/23.jpg)
YOUR LOGO23
310
848
72
Example 1
407
![Page 24: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/24.jpg)
YOUR LOGO24
6.3
Example 1
![Page 25: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/25.jpg)
YOUR LOGO
1. Eradicate clostridia – high priority
2. Lower oxalate - high priority
3. Treat candida – priority
4. Mitochondrial support – priority
5. Glutathione support – priority
6. GPL-TOX and Glyphosate tests
7. Myco-TOX Profile
Intervention Strategies
25
![Page 26: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/26.jpg)
YOUR LOGO
• Digestive gas after high carbohydrate meal or snack
• Mild/moderate fatigue, but only after intense activity: • Able to exercise, e.g. cardio, weights, 3 to 4 times weekly
• Moodiness, easy to temper
• No depression but does feel emotionally overwhelmed much of the time. High stress job.
• No muscle or joint pain
• No urinary complaints
Case Example 2
26
![Page 27: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/27.jpg)
YOUR LOGO27
248
Example 2
![Page 28: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/28.jpg)
YOUR LOGO28
Example 2
![Page 29: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/29.jpg)
YOUR LOGO29
Example 2
213
![Page 30: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/30.jpg)
YOUR LOGO30
9.4
14
Example 2
![Page 31: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/31.jpg)
YOUR LOGO31
Example 2
![Page 32: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/32.jpg)
YOUR LOGO32
Example 2
1.6
![Page 33: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/33.jpg)
YOUR LOGO33
Example 2
2.4
![Page 34: Case Studies in High Oxalate - Advanced OAT …...2. Prioritized to avoid –spinach (and other high oxalate veggies), soy products, nuts and berries. 3. Cal/Mag Citrate –2 capsules](https://reader033.fdocuments.us/reader033/viewer/2022050314/5f770bea4ff08e22706c39c5/html5/thumbnails/34.jpg)
YOUR LOGO
1. Treat candida – high priority
2. Treat quinolinic acid – high priority
3. L-carnitine supplementation – priority
4. Mitochondrial support
5. Vitamin B6 & Vitamin C supplementation – priority
6. Glutathione support – priority
7. Lower oxalate
8. Consider GPL-TOX panel
Intervention Strategies
34