Title: The Montgomery Heart and Wellness Nutritional Boot Camp Session One
1(No Transcript)
2Welcome
- The Montgomery Heart and Wellness Nutritional
Boot Camp Session One
3Baxter 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
4Montgomery Heart Wellness Overview and Concepts
5The Montgomery Heart Wellness Build a Better
You Concept
6The Basis for Chronic Illness
7MHW 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
8Examples of The Program Effects and Benefits
9Example 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
10Example 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
11Example 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
12Intervention 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
13Intervention 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
14Example 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)
15Intervention 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
16Week 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
17Summary
- 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
18Example Two
1946-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
20The Initial Coronary Angiogram
21Repeat Coronary Angiogram After Intervention
22Detoxification
23What 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.
24Detoxification Overview
25Detoxification 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
26Major 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)
27Renal Detoxification
28Images of Renal and Urinary System
29The Physiology of Renal Detoxification
30Aspects of Basic Kidney Function and Dysfunction
31Detoxification 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
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33Functions 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
34Functions 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)
35Functions 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
36Gastrointestinal Detoxification
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38Basic 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)
39Gastrointestinal Detoxification
40The 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
41Other Systems
- Lymphatic System
- Mucous Membranes and Internal Tissue Linings
(Internal Skin) - Respiratory Tract
- Skin (External)
42What are Common Detoxification Symptoms?
- Clogged sinus
- Constipation
- Cough
- Diarrhea
- Fatigue
- Fever
- Flu symptoms
- Cold symptoms
- Gas
- Headache
- Irritability
- Moodiness
- Skin rash
- Stomachache
43How to Treat Detoxification
- Rest
- Consume raw fruits and vegetable juice
- Drink plenty of water
44Food Toxins and Toxic Foods
- Why Must We Remove Certain Foods From Our Diet?
45Toxins in Our Food Sources
46Toxins in Our Food Sources Dairy
47Toxins 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
48Toxins 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? -
50Toxins in Our Food SourcesPoultry/Beef/Pork/Lamb
- Toxins Pesticides in Feed
51Toxins in Our Food SourcesPoultry/Beef/Pork/Lamb
52Toxins in Our Food SourcesPoultry/Beef/Pork/Lamb
53Toxins in Our Food Sources Fish
54Toxins in Our Food Sources Fish
55Toxins 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
56Toxins 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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58Toxins in Our Food SourcesProcessed Foods
- MSG, BHT (butylated hydroxytoluene), BHA
(butylated hydroxyanisole), DES
59Toxins in Our Food SourcesProcessed Foods
- Nitrosamines
- Carcinogen (liver, stomach, brain, bladder,
kidneys) - Chemical preservative and color enhancer
60Toxins 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
61How Do I Know if I Have Toxins in My Body?Hair
Analysis Testing Heavy Metals
- Mercury
- Aluminum
- Iron
- Copper
- Cadmium
- Lead
- Arsenic
62Resources
- drgrisanti.com
- holisticmed.com
- hairanalysistest.com
- chemicalbodyburdern.org
- electroherbalism.com
63What are You Willing to Give Up?
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68What About Exercise?
69The Nutritional Boot Camp Experience
- What to Expect and How to Maximize Your
Experience and Results
70The Montgomery Heart and Wellness Nutritional
Boot CampHow Should You Proceed
- Consult Your Physician
- Medications may need to be changed.
71Foods 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
72What Can I Eat?
73What is Optimal Nutrition?
- Water
- Natural Plant Based Foods
- Raw Fruit
- Raw Vegetables
- Raw Seeds
- Raw Sprouts
- Sunshine
74The 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
76Nutritional 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
77The 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
78How 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!
79Frequently Asked Questions
- What if Im hungry?
- What do I do about cravings?
- What if I want something warm?
- What if I want to chew?
80Finally Its Only 4 Weeks!
81What Can You Expect?
82Change in Weight
83Change in BMI
84Systolic Blood Pressure Effects
85Diastolic Blood Pressure Effects
86Effects on Heart Rate
87Neck Size
88Effects on Waistline
89Total Cholesterol
90Effects on LDL Cholesterol
91Effects on Kidney Function
92Effects on C-Reactive Protein
93Effects on SED Rate
94Effects on Fasting Glucose
95Effects on A1C
96Boot 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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98How 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
99Its Only 4 Weeks!
100NEWS FLASH!
101Burger King running out of ribs Fast-food chain
sold its 10 millionth rib, expects to exhaust
supply this month.