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Vitiligo treatment

Dr. Nieters,
I heard about you through a friend and heard that you have past success in treating auto-immune diseases. I have a auto-immune disease called vitiligo where I lose pigmentation in my skin. I have been getting treated for this condition with light therapy at Kaiser for many years now with limited success, but recently, the condition has spread on my face, despite diligently sticking to my doctor’s treatment regiment.

What type of experience do you have in treating vitiligo?
What kind of results have you seen?
What type of treatment is typical for autoimmune diseases?
How does your treatment help them?
Is the treatment mostly acupuncture or medicine-based?
How often would I have to come in for treatment?
How long is recovery time/ when should I start seeing some results?

To aide you in answering some of these questions, here is some information about me:
Sex: Male Age: 23 Height: 5’6″ Weight: 135 lbs

I exercise regularly. I don’t smoke, but drink on occasion. I eat all types of food, but have been recently trying to eat more raw fruits and vegetables via juicing. I don’t have any allergies other than to pollen. I don’t use any medicine other than topical steriods, which are applied to the affected areas of vitiligo. (Protopic and Fluocinide)

Thanks again for your help, and I look forward to meeting you in the near future.
Miles

Dear Miles,
I have treated a fair amount of vitiligo with very good results.  The treatments in Chinese Medicine are pretty clear. The caveat is that most of my vitiligo patients have been women.

While I do acupuncture whenever I see my patients, most autoimmune, and internal medicine conditions in general, are best treated with herbs and lifestyle adjustments.  Because of this I do not need to see typical autoimmune patients very often.

A great deal of my practice is treating autoimmune disorders.  A lot of my patients fly in from the east coast or southern California, so I do not see them often. Ideal treatment frequency would be about every three weeks for the first 4-5 treatments to see what is most effective for you, and then every 6-9 weeks until the condition is resolved.

Vitiligo takes a little longer than most autoimmune conditions to see clear results because the cellular turnover takes awhile.  Typically about 2-3 months.  If no success by that time, it will likely not work.  That being said, I have a couple of patients where we had some obvious improvement in a few weeks.  I would not count on it, but it has happened.

I hope that this information helps.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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Liver enzymes

I am concerned about my liver enzymes, is there a particular food that I should avoid, like meat protein, dairy, etc…?  I didn’t know what “high liver enzyme” mean?
Thank you,
Nadia

 

Dear Nadia,
Liver enzymes are released from damaged cells in the liver allowing the enzymes to leak out.  This damage can be from many causes such as viral infections like hepatitis, alcohol intake, pharmaceutical or recreational drugs.  Sometimes, no cause is ever found.   It could even be caused by inflammation from the high thyroid levels.

A supplement that we commonly prescribe supports the healing process of the liver by supporting the phospolipid fatty membranes around the cells of the liver to protect the liver.

Foods that support the liver:

  • high quality fats and oils (extra virgin olive, grapeseed, high quality fish, cod liver,  krill, virgin coconut, etc)
  • green vegetables
  • micro algae.

Foods that are hard on the liver:

  • Processed foods
  • drugs
  • alcohol
  • artificial sweeteners
  • high fructose corn syrup
  • pesticide residue on food
  • birth control pills

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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Thrush & fungal infections

Hello John,
I’m coming in to see you tomorrow but wanted to ask you what you thought of this. Last 2 days my throat has been a little sore and it’s around the back left side of my tongue. This morning I woke up to see a film on my tongue that looks a lot like this: http://healthytonguesecrets.com/wp-content/uploads/2010/08/thrush1.jpg

What should I do? I didn’t have my probiotics for a day and a half, maybe that caused it. I’ll be calling my doctor shortly.

Thanks,
Sam

Dear Sam,
I get to see these types of tongues frequently. Unfortunately it is all too common with antibiotics. One thing to remember is that it is very difficult to have thrush unless you have fungal overgrowth throughout the system. There are many good intestinal yeast killers which, will lower the load.

For your mouth specifically:

  • You can take an oral anti-fungal from you MD
  • You can get an anti-thrush anti-fungal from you doctor
  • You can get a a strong liquid natural probiotic (health food store) and hold it in you mouth as long as possible.
  • Good quality kephir or yoghurt will help some.  Drink the kefir about 3-4 ounces at a time. Hold it in your mouth and then swallow.  Repeat every 1/2 hour or so.

Good intestinal anti-fungals (may taste too bad to use orally) are Grapefruit seed extract, capryllic acid, undecyclenic acid.  I have a list of about 20 of them, but these are top notch.
Butter, ghee and coconut oil are also anti-fungal. Increase probiotics up to about 6 times per day.   Don’t take them within 1.5 hours of the antibiotics.

See you tomorrow.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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Thanks for the nutrition course

Hi, Dr. Nieters!
Thanks for a great class!!  I am more aware of the issues involved and how to properly view various lifestyle diseases.  Here’s an article published on Boston.com blog. Written by John McDonough, Director of the Center for Public Health Leadership at Harvard Medical School.  It may have come a time when even the “western” doctors are sick and tired of the treatments they provide for their patients.  http://www.boston.com/lifestyle/health/health_stew/2012/03/statins_chronic_disease_–_and.html?comments=all#comments

I have heard of great things/changes about the school – new location, new clinic policy, etc.  Hope I will be back soon.  We are fortunate to have you lead the school.  As a side note, when I was in Chinese classes on weekends, I heard some students saying the president should be Chinese.  I found this a bit ridiculous.  At this point, I find the English program to be much stronger than the Chinese program on weekends.  Unfortunately, if I have to return to work full time, the Chinese program will be my own option.  Is it possible to have weekend English program in the near future?!

Take care!
Sherry

Dear Sherry,
Thank you for the very kind words and also for the feedback. I too have heard from many sources that the President should be Chinese. I have tried to become Chinese, but as yet to no avail!

I have been looking into an English program on weekends.  I think it would help in many ways.  We could stagger it a bit to allow people to make up classes that they missed, etc. and not get too far behind.

I look forward to seeing when you come back.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine
President, Academy of Chinese Culture and Health Sciences (2011-2015)

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Lyme disease approach

I was diagnosed with Lyme Disease and my husband has several friends at work with family members that have Lyme as well.  He has heard from them that you cannot get rid of Lyme unless you take antibiotics.  He wanted to know if you had any testimonials from other Lyme patients, or that we could contact to get feedback from them.  Since I will be flying in once a month, my husband wants to make sure this is something that will work for me.
Thank you,
Sarah

Sarah,
There is no definite test to prove that Lyme is cured or eradicated.   There are only inferential tests that when used in conjunction, give relative assurances that the Lyme is either eradicated or is not active.  The most common test, the Western Blot, gives false negatives about 2/3rds of the time.  Because of this uncertainty, I would never say that a patient has been “cured”.  I could only say that they have been symptom free or that their tests have been negative for a certain period of time.  There are actually several different forms of “Lyme” disease other than the common species of Borrelia burg. that are almost never tested for.

There is actually no 100% conclusive proof that antibiotics kill chronic Lyme disease.  A clinical determination or diagnosis can be made, but not 100% positive biomedical certainty.  A typical course of antibiotic therapy will last well over a year, indicating the difficulty of the organism.

The same is true with other than antibiotic approaches. Dr. Weil has some good information about herbal approaches to Lyme treatment on his website.  He refers to the Zhang family in New York who have teated several thousand Lyme cases with Chinese Medicine.  They have written the definitive book on the treatment of Lyme disease with Chinese Medicine.  The protocols that I was using were similar to Dr. Zhang’s before I read his book and are now nearly identical.  If you are on the East Coast I would recommend seeing the Zhang’s.  The Zhangs, Dr. Weil, and many others, believe that the antibiotic approach has about as many negatives as positives.  I have seen many Lyme patients who have done several years of antibiotic therapy and have experienced very poor results and have had their conditions worsen dramatically.

I am seeing one gentleman in the next couple of weeks who we believe is now Lyme free.  Again, there is no way to have absolute biomedical certainty.  I will ask if he is willing to make contact with you.

I have another young man doing combination antibiotics and Chinese medicine who is now having good CD57 counts in a remarkably short period of time.  I can also ask him when I see him.  I just started treating his girlfriend, as she was recently diagnosed with Lyme.  Her MD feels that she contracted the Lyme directly from him and not from an arthropod vector.

By the way, even if antibiotics are the primary treatment of choice, I am quite certain that Lyme and other “Gu” diseases are treated much more effectively if Chinese Medicine is used as an adjunctive treatment.  It might be helpful to listen to the radio program that I did on “Gu disease”.  This can be found on: www.thebalancingpoint.net.

In this podcast I explain why Chinese herbals are so effective and have been used for several thousand years to treat these disorders.  The earliest confirmed case of Lyme disease that I am aware of is from about 6,000 years ago.  The character for “Gu” disorders has been in the Chinese language for about 3,500 years.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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