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The Montgomery Heart and Wellness Nutritional Boot Camp Session One

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Title: The Montgomery Heart and Wellness Nutritional Boot Camp Session One


1
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2
Welcome
  • The Montgomery Heart and Wellness Nutritional
    Boot Camp Session One

3
Baxter Montgomery, MD, FACC
  • Clinical Professor of Medicine, Division of
    Cardiology/ Cardiac Electrophysiology UT Houston
    Director, Houston Cardiac Association and JAM
    Institute of Medical Education and Research

4
Montgomery Heart Wellness Overview and Concepts
5
The Montgomery Heart Wellness Build a Better
You Concept
6
The Basis for Chronic Illness
7
MHW Model of Nutritional Intervention
  • Define and Remove Sources of Poor Nutrition
  • Define Sources of Excellent Nutrition and Replace
    Poor Nutritional Sources
  • Create an Environment that Reinforces Necessary
    Lifestyle Changes
  • Provide Individuals with Necessary Tools and
    Skills to Make Long Standing Lifestyle Changes
  • Enable MHW Patients and Wellness Clients to
    Become Their Own Health and Wellness Experts

8
Examples of The Program Effects and Benefits
9
Example One
  • A 74-year-old lady who presents with complaints
    of chest tightness at rest and with exertion
    along with SOB with minimal exertion and
    generalized fatigue.
  • Medical History
  • HTN
  • Hypertriglyceridemia
  • Type 2 Diabetes
  • Asthma
  • Sleep Apnea
  • Surgical History
  • Hernia Repair
  • Tubal Ligation
  • Carpal Tunnel Surgery
  • Pericardiocentesis
  • Hysterectomy
  • Family History
  • Hypertension
  • Heart Disease
  • Asthma

10
Example One(continued)
  • Medications
  • Levemir 70 units qam and 30 units qhs
  • Humalog 34 units qam and 34 units TID b/f meals
  • Klor-Con 10 10mEq bid
  • Cozaar 50 mg daily
  • Diltiazem 240mg qd
  • Furosemide 80 mg qd
  • Vitamin D 50,000 IU 2 times per week
  • Pantoprazole 40 mg qd
  • Benzonatate 100 mg tid
  • Isosorbide Mononitrate qd
  • Simvastatin 40 mg qd
  • Travatan 0.004 1 gtt qd
  • Prednisone 10 mg ½ tab qd
  • Meclizine 25 mg prn
  • Metolazone 5 mg prn
  • Nitroglycerin 0.4 mg prn
  • Allergies
  • None

11
Example One(continued)
  • Exam
  • Wt 289 lbs
  • BP 155/75
  • HR 85
  • General Moderately obese
  • Heart and Lungs without significant abnls
  • Extremities Bilateral edema of about 1

12
Intervention for Our Patient in Example One
  • Nutritional
  • Foods to Avoid
  • ? All forms of animal flesh (pork, beef, chicken,
    turkey, fish, etc.)
  • ? Dairy products (any animals milk or
    derivatives thereof including yogurt, cream,
    cheese, butter, ice cream, sherbet, etc.)
  • ? Eggs and egg products
  • ? Processed cereals (oatmeal, corn flakes, grits,
    etc.)
  • ? Cooked grains (rice, pasta, bread, corn, wheat,
    or foods with wheat gluten such as breads)
  • ? Soft drinks, pasteurized fruit juices, alcohol,
    coffee, etc.
  • ? Any other pasteurized beverages
  • ? Any foods that are fried, baked, steamed,
    grilled, boiled, microwaved, roasted, or sautéed

13
Intervention for Our Patient in Example One
  • Medical (red were stopped, blue started, black
    contd)
  • Medications
  • Levemir 70 units qam and 30 units qhs
  • Humalog 34 units qam and 34 units TID b/f meals
  • Klor-Con 10 10mEq bid
  • Cozaar 50 mg daily
  • Diltiazem 240mg qd
  • Furosemide 80 mg qd
  • Vitamin D 50,000 IU 2 times per week
  • Pantoprazole 40 mg qd
  • Benzonatate 100 mg tid
  • Isosorbide Mononitrate qd
  • Simvastatin 40 mg qd
  • Travatan 0.004 1 gtt qd
  • Prednisone 10 mg ½ tab qd
  • Meclizine 25 mg prn
  • Metolazone 5 mg prn
  • Nitroglycerin 0.4 mg prn
  • Tekalmo 300/10

14
Example One(continued)
  • Follow up in One Week
  • Feels Better
  • Less Edema
  • Blood Sugars Decreased
  • Physical Assessment
  • Wt 271 lbs (18 lbs decreased)
  • BP 145/77 (10 mmHg decrease of SBP)

15
Intervention at One Week
  • Medical (red were stopped, blue started, black
    contd)
  • Medications
  • Vitamin D 50,000 IU 2 times per week
  • Pantoprazole 40 mg qd
  • Benzonatate 100 mg tid
  • Isosorbide Mononitrate qd
  • Simvastatin 40 mg qd
  • Travatan 0.004 1 gtt qd
  • Nitroglycerin 0.4 mg prn
  • Tekalmo 300/10

16
Week Two Follow up
  • Follow up in Two Weeks
  • No Chest Pain or Shortness of Breath
  • Rare episodes of Wheezing
  • No Edema
  • Blood Sugars Decreased
  • Wt 267.5 (21.5 lbs decreased from baseline)
  • BP 155/81 (near baseline on fewer meds)
  • Meds
  • Travatan 0.004 1 gtt qd
  • Tekalmo 300/10 qd

17
Summary
  • Could have initiated with cardiac catheterization
  • Could have added medications for angina
  • Could have done nuclear stress test
  • Instead
  • Began intense nutritional changes
  • Reduced medications
  • Followed in office closely

18
Example Two
19
46-Year-Old Lady Needing Clearance for Gastric
Bypass Surgery
  • 46-years-old
  • Medical History
  • Obesity
  • Pre-diabetes
  • High Blood Pressure
  • Symptoms
  • Chest Pain that woke her from sleep
  • Shortness of Breath with exertion
  • Fatigue
  • Initial Heart Test Findings
  • Abnormal EKG
  • Enlarged Heart with 20 to 25 pumping function

20
The Initial Coronary Angiogram
21
Repeat Coronary Angiogram After Intervention
22
Detoxification
  • Concepts and Overview

23
What is Detoxification?
  • Detoxification - the term used to describe the
    process your body goes through to get rid of
    toxins
  • Detoxification symptomsboth physical and
    mentalmay appear when you alter your lifestyle
  • Examples of lifestyle changes include
  • changing your diet
  • exercising
  • discontinuing a current habit
  • eating chocolate
  • drinking coffee.

24
Detoxification Overview
25
Detoxification Mechanisms
  • The Body has to Process all Substances that are
    Ingested
  • Ingested Substances have Two Basic Components
  • Nutrients
  • Waste (Toxins)
  • The Balance of Nutrients to Waste (Toxins)
    Determine the Basis of the Bodys Health
  • Nutrients gt Waste Health
  • Waste gt Nutrients Illness

26
Major Organs/Systems of Focus
  • Kidney and Urinary System
  • Gastrointestinal System
  • Other Systems to Consider
  • Lymphatic System
  • Mucous Membranes and Internal Tissue Linings
    (Internal Skin)
  • Respiratory Tract
  • Skin (External)

27
Renal Detoxification
  • The Kidney

28
Images of Renal and Urinary System
29
The Physiology of Renal Detoxification
30
Aspects of Basic Kidney Function and Dysfunction
31
Detoxification by the Kidney
  • Approximately 190 liters of blood pass through
    the kidney daily (25 of total circulation).
  • Waste is Removed
  • Medications
  • Byproducts of Food Additives
  • Byproducts of Normal Metabolism
  • Electrolytes are Balanced
  • Potassium
  • Sodium
  • Others (phosphorus, magnesium, calcium, etc.)
  • Water is Regulated

32
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Functions of the Liver
  • Production of bile, which helps carry away waste
    and break down fats in the small intestine during
    digestion
  • Production of certain proteins for blood plasma
  • Production of cholesterol and special proteins to
    help carry fats through the body

34
Functions of the Liver
  • Conversion of excess glucose into glycogen for
    storage (glycogen can later be converted back to
    glucose for energy)
  • Regulation of blood levels of amino acids, which
    form the building blocks of proteins
  • Processing of hemoglobin for use of its iron
    content (the liver stores iron)

35
Functions of the Liver
  • Conversion of poisonous ammonia to urea (urea is
    an end product of protein metabolism and is
    excreted in the urine)
  • Clearing the blood of drugs and other poisonous
    substances
  • regulating blood clotting
  • resisting infections by producing immune factors
    and removing bacteria from the bloodstream

36
Gastrointestinal Detoxification
  • The Small Intestine

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Basic Function of Small Intestine
  • Duodenum
  • Receives secretions from the liver and pancreas
    using bile ducts
  • It uses these secretions to extract nutrients
    from food
  • Jejunum
  • A major area of absorption
  • Ileum
  • Provides passage from small intestine to large
    intestine (colon)

39
Gastrointestinal Detoxification
  • The Large Intestine

40
The Large Intestine
  • It is about 1.5 meters (4.9ft) long
  • It absorbs water
  • Passes Solid Waste Material out of the body
  • Major Components
  • Cecum
  • Colon
  • Ascending
  • Transverse
  • Descending
  • Rectum
  • Anus

41
Other Systems
  • Lymphatic System
  • Mucous Membranes and Internal Tissue Linings
    (Internal Skin)
  • Respiratory Tract
  • Skin (External)

42
What are Common Detoxification Symptoms?
  • Clogged sinus
  • Constipation
  • Cough
  • Diarrhea
  • Fatigue
  • Fever
  • Flu symptoms
  • Cold symptoms
  • Gas
  • Headache
  • Irritability
  • Moodiness
  • Skin rash
  • Stomachache

43
How to Treat Detoxification
  • Rest
  • Consume raw fruits and vegetable juice
  • Drink plenty of water

44
Food Toxins and Toxic Foods
  • Why Must We Remove Certain Foods From Our Diet?

45
Toxins in Our Food Sources
46
Toxins in Our Food Sources Dairy
47
Toxins in Our Food Sources Dairy
  • The most significant carcinogen that we consume
    is casein (one of the milk proteins)
  • Cancer cells can be turned off and on with dairy
    consumption
  • Source The China Study, T. Colin Campbell

48
Toxins in Our Food Sources Dairy
  • Antigens in Dairy RA, Osteoarthritis
  • Dairy Proteins Allergies, Asthma, Sinus
  • Other Conditions Contributed to Dairy Acne,
    Atherosclerosis, Stomach (bloating, pain, cramps,
    diarrhea, gas), Bronchitis, Chest Infections,
    Eczema, Hay Fever, Hemorrhage, HTN, Hives,
    Juvenile RA, MS, Nasal Congestion, Kidney
    Disease, Pyoderma, Skin Rash, Sneezing

49
  • What causes a 130 pound calf to become a
    2,000 pound cow within a matter of months?

50
Toxins in Our Food SourcesPoultry/Beef/Pork/Lamb
  • Toxins Pesticides in Feed

51
Toxins in Our Food SourcesPoultry/Beef/Pork/Lamb



  • Feces

52
Toxins in Our Food SourcesPoultry/Beef/Pork/Lamb
53
Toxins in Our Food Sources Fish
54
Toxins in Our Food Sources Fish
55
Toxins in Our Food Sources Fish
  • Heavy Metals Mercury Can cause brain damage
    in fetuses
  • Plastics PCBs - polychloronated biphenyl
    used in transformers capacitors banned since
    1976
  • Flame Retardants
  • Dioxins
  • Farm-raised small, fat-rich fish fed to larger
    fish those small fish contain 10x the
    contaminants of salmon

56
Toxins in Our Food SourcesProcessed Foods
  • Coal Tar Dyes Carcinogen
  • Artificial colors, flavors and odors are made
    from coal tar
  • Found in soft drinks, cosmetics and many
    medicines
  • Foods with bright colors, strong flavors and
    odors often contain coal tar

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Toxins in Our Food SourcesProcessed Foods
  • MSG, BHT (butylated hydroxytoluene), BHA
    (butylated hydroxyanisole), DES

59
Toxins in Our Food SourcesProcessed Foods
  • Nitrosamines
  • Carcinogen (liver, stomach, brain, bladder,
    kidneys)
  • Chemical preservative and color enhancer

60
Toxins in Our Food SourcesProcessed Foods
  • MSG Look for Other Names on Labels
  • Hydrolyzed Vegetable Protein/Hydrolyzed Protein
  • Natural Flavoring
  • Hydrolyzed Plant Protein/Hydrolyzed Oat Flour
  • Plant Protein Extract/Textured Protein
  • Sodium Caseinate
  • Calcium Caseinate
  • Yeast Extract
  • Natural Beef or Chicken Flavoring

61
How Do I Know if I Have Toxins in My Body?Hair
Analysis Testing Heavy Metals
  • Mercury
  • Aluminum
  • Iron
  • Copper
  • Cadmium
  • Lead
  • Arsenic

62
Resources
  • drgrisanti.com
  • holisticmed.com
  • hairanalysistest.com
  • chemicalbodyburdern.org
  • electroherbalism.com

63
What are You Willing to Give Up?
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What About Exercise?
69
The Nutritional Boot Camp Experience
  • What to Expect and How to Maximize Your
    Experience and Results

70
The Montgomery Heart and Wellness Nutritional
Boot CampHow Should You Proceed
  • Consult Your Physician
  • Medications may need to be changed.

71
Foods to Completely Remove During Boot Camp
  • Remove All Forms of Animal Flesh (Dead or Alive)
  • Fish
  • Chicken
  • Beef
  • Pork
  • Worms, Roaches, Rats, etc.
  • Remove All Forms of Cooked Foods (steeped teas
    okay)
  • Remove All Forms of Oils
  • Remove All Nuts
  • Remove All Processed Foods
  • Remove All Pasteurized Foods

72
What Can I Eat?
73
What is Optimal Nutrition?
  • Water
  • Natural Plant Based Foods
  • Raw Fruit
  • Raw Vegetables
  • Raw Seeds
  • Raw Sprouts
  • Sunshine

74
The Boot Camp Process
75
Food Classification System
  • Food Levels 0 through 3 are best for
    detoxification
  • Food Levels 4 through 6 are good maintenance
    levels
  • Food Levels 7 through 10 are best avoided Level
    7 may be tolerable on very rare occasions

76
Nutritional Zones
Zones Detoxification Zone Slow Healing or Maintenance Zone Disease Development or Progression Zone
Food Levels Level 0 Level 4 Level 7
Food Levels Level 1 Level 5 Level 8
Food Levels Level 2 Level 6 Level 9
Food Levels Level 3 Level 10
77
The Montgomery Heart and Wellness Nutritional
Boot CampHow Should You Proceed
  • Review the List of Foods to Avoid and commit
    them to memory
  • Review the Food Classification Scheme and List of
    Foods and menus in each Food Level
  • Decide on a Food Level to Follow during the four
    week period and try to stay at that level
  • No portion limits in Food Level 0-3

78
How Should You Proceed?
  • 100 Compliance!
  • Upon completion of the four week period, resume a
    nutritional regimen that is comfortable for you
    to comply with that is as close to the center of
    the classification system diagram
  • Enjoy the Journey!

79
Frequently Asked Questions
  • What if Im hungry?
  • What do I do about cravings?
  • What if I want something warm?
  • What if I want to chew?

80
Finally Its Only 4 Weeks!
81
What Can You Expect?
82
Change in Weight
83
Change in BMI
84
Systolic Blood Pressure Effects
85
Diastolic Blood Pressure Effects
86
Effects on Heart Rate
87
Neck Size
88
Effects on Waistline
89
Total Cholesterol
90
Effects on LDL Cholesterol
91
Effects on Kidney Function
92
Effects on C-Reactive Protein
93
Effects on SED Rate
94
Effects on Fasting Glucose
95
Effects on A1C
96
Boot Camp and Beyond!
  • Nutritional Boot Camp
  • Five Sessions over 4 weeks (monthly meetings)
  • Remove all forms of animal protein, processed
    carbohydrates, eggs, and dairy
  • Raw Fruit and Vegetable
  • Food Preparation Demos
  • Supermarket shopping rounds
  • Get Connected and Join Wellness Club
  • Platinum, Gold, Online, or Custom
  • Monthly Nutritional Counseling
  • Food Preparation Demos
  • Customized Meal Plans

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How to Get Connected
  • Meet with our staff to discuss our different
    programs and wellness clubs
  • MHW Platinum Club
  • Build a Healthier, Younger You
  • Enhanced Fitness and Anti-aging
  • MHW Gold Club
  • Build a More Energetic and Fit You
  • Monthly Nutritional Follow up and Track Your
    Progress
  • MHW Online Club
  • Online access to videos and other educational
    materials
  • Unlimited Recipes from The Garden Kitchen
  • Custom Programs

99
Its Only 4 Weeks!
100
NEWS FLASH!
101
Burger King running out of ribs Fast-food chain
sold its 10 millionth rib, expects to exhaust
supply this month.
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