- Alliance For Addiction Solutions
Transcription
- Alliance For Addiction Solutions
FALL 2015 Newsletter Volume 3, No 5 Official Newsletter of the Alliance for Addiction Solutions Transforming Addiction Through Nutrition Integrative Therapy and Relapse Prevention Fall 2015 Newsletter Table of Contents President’s Message……………………………………………………………………………………………………….pg. 2 Editor’s Note…………………………………………………………………………………………………………………pg. 3 - 4 Opiate vs. Opioid……………………………………………………………………………………………………………pg. 4 - 6 New Website Coming Soon…………………………………………………………………………………………….pg. 7 Chapter News……………………………………………………………………………………………………………….pg. 7 - 8 Tele-Class…………………………………………………………………………………………………………………….pg. 9 - 11 Holistic Gourmet’s Recipe…………………………………………………………………………………………….pg. 12 Honored Pioneer………………………………………………………………………………………………………….pg. 13 - 14 Book Reviews………………………………………………………………………………………………………………pg. 15 - 16 Expert Advice……………………………………………………………………………………………………………..pg. 16 - 18 Research Roundup……………………………………………………………………………………………………….pg. 18 - 22 Humor…………………………………………………………………………………………………………………………pg. 23 Lethal Combinations……………………………………………………………………………………………………pg. 23 - 24 Antidoting Opioid Overdose…………………………………………………………………………………………pg. 24 Announcements…………………………………………………………………………………………………………..pg. 25 Join the Alliance on Facebook, Twitter & LinkedIn…………………………………………………………pg. 25 Board of Directors - Get in Touch…………………………………………………………………………………pg. 25 - 26 1 FALL 2015 Newsletter Volume 3, No 5 PRESIDENT’S MESSAGE Happy Fall! We are now half way into the season and it always reminds me of what I can let go of and what may need to fall away in my life. Yet it feels like there is more to take on as Fall brings with it the beginning of the holiday season and many new projects! We continue to work on behalf of members and stakeholders so we can unite the Alliance Community bringing hope, solutions, and inspiration through our Newsletters, Tele-Class Series, and Website. Our October Tele-Class guest speakers featured Julia Ross, MA, MFT, Scott N. Gillet, LCSW and Dr. Alex Zaphiris, MD, MS, for our Success Story Speaker Series. They are experts in the field of Opiate Recovery, a topic of critical importance because so many are dying of opiate addiction and overdose. The good news is we have a community working towards real solutions for this rising epidemic. Our Tele-Classes are live so members can be a part of the conversation and participate. Also, our Tele-Class calls are archived, so members can access previous tele-class recordings as often as desired. If you are not a member of the Alliance Community, consider joining us! The quality of our speakers, alone, is worth the cost of membership! May you let go of what no longer serves you and may we all unite together to bring peace, joy and recovery back to our homes and communities. Best in health, heart and recovery! Pati Reiss, BA, HHC, NRC President, Alliance for Addiction Solutions 2 FALL 2015 Newsletter Volume 3, No 5 EDITOR’S NOTE Apparently*we*are*a*na,on*in*pain.*This*issue*of*the*Alliance*newsle6er*looks*at*the*tsunami* of*opiate*prescrip,ons*across*America*today*and*the*inevitable*rise*in*opiate*overdoses.** The*US*popula,on*in*1991*was*252.98*million.*In*2013*it*was*316.5*million.*That*is*an* increase*in*popula,on*of*25%.*During*that*same*,me*the*number*of*prescrip,ons*for* addic,ve*opiate*pain*relievers*like*hydrocodone*and*oxycodone*rose*from*76*million*in*1991* to*about*207*million*in*2013,*an*increase*of*172%.* And*although*the*USA*makes*up*less*than*5%*of*the*world’s*popula,on,*we*consume*99%*of* its*hydrocodone,*the*opiate*in*Vicodin*and*Norco.* What*is*the*solu,on*to*this*epidemic*need*to*dull*our*senses?*Should*we*put*endorphinR boos,ng*DRphenylalanine*in*the*drinking*water*instead*of*fluoride?*It*turns*out*even*without* changes*that*drama,c*something*can*be*done.*One*medical*doctor*at*the*right*place*with*the* right*authority*turned*‘scrip,ng*as*usual*on*its*head*and*since*2011*under*her*leadership*her* regional*network*of*Veterans*Administra,on*medical*facili,es*in*Manha6an*and*the*Bronx,* New*York,*have*had*the*lowest*rate*of*opiate*prescrip,ons*of*any*VA*hospital*in*the*en,re* country.**Her*name*is*Heidi*Klingbeil,*MD*and*as*chief*of*physical*medicine*and*rehabilita,on* she*changed*the*guidelines*for*pain*management*beginning*with*the*obvious*first*step*of* diagnosing*the*problem.** Can*you*believe*it*took*Dr.*Klingbeil*to*suggest*her*colleagues*actually*figure*out*what*was* causing*the*pain*before*prescribing*a*narco,c?*And*instead*of*immediately*pulling*out*a* prescrip,on*pad*to*suggest,*instead,*drugRfree*treatments*such*as*acupuncture,*exercise,* chiroprac,c,*and*Reiki?*Klingbeil,*herself,*is*trained*in*acupuncture.*She*also*helped*create*a* series*of*four*twoRhour*lessons*for*the*veterans*in*how*to*strengthen*muscles*in*their*backs.* Because*of*her*leadership*the*focus*of*the*en,re*ins,tu,on*shi^ed*from*opioidsRasRusual*to* rehabilita,on*and*serves*as*a*model*of*what*can*be*done*to*turn*back*the*opiate*,de.** h"p://www.stripes.com/news/veterans/one3va3doctor3s3cure3for3opiate3overprescrip7on3 diagnose3first31.337885? 3 FALL 2015 Newsletter Volume 3, No 5 ** Meanwhile,*let’s*each*look*in*our*own*medicine*cabinets*before*cas,ng*stones*elsewhere.*In* my*home*between*my*husband*and*myself*I*found*four*opiate*prescrip,ons,*153*tablets*s,ll* unused*of*hydrocodone*plus*acetaminophen,*hydromorphone,*and*oxycodone*da,ng*back* three*years.*They*are*worth*over*$500*on*the*street.*For*many*addicts*addic,on*starts*with* what*they*find*le^*over*from*parents*and*grandparents’*unused*prescrip,ons.*Not*all*drugs* are*to*be*flushed*down*the*toilet*but*some*are.*Here*is*the*link*to*the*FDA*site*giving*the* medicines*recommended*for*flushing*(this*one*includes*opiates):* h"p://www.fda.gov/downloads/Drugs/ResourcesForYou/Consumers/ BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ UCM337803.pdf? And*here*is*the*link*for*advice*on*what*to*do*with*those*you*cannot*safely*flush:* h"p://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/ EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm? Bo6om*line:*Be*aware.*Take*care.*Prevent*abuse*by*choosing*alterna,ves*to*opiates*for*pain* relief.*Get*rid*of*unused*tablets*promptly*and*safely.*And*don’t*come*looking*for*my*drugs.* I’ve*(finally)*disposed*of*them.* Carolyn Reuben, Lac Execu,ve*Editor* [email protected]? OPIATE vs.OPIOID An*opiate*is*derived*from*the*poppy*that*gives* us*opium,*for*example*morphine.*An*opioid*is*a* pharmaceu,cal*drug*designed*to*a6ach*to* opiate*receptors*in*our*nervous*system,*such*as* methadone.*However*narco,c*drugs*also* include*semiRsynthe,cs*like*0xycodone.*Today* the*term*opioid*is*o^en*used*to*mean*all* opiates*and*opioids.* 4 FALL 2015 Newsletter Volume 3, No 5 Cause?and?Cure?of?Opioid?Addic7on? Q:?What’s*the*cause*of*our*country*being*in*such*pain* we’re*numbing*ourselves*in*record*numbers?*? heroin,*which*is*cheaper.* A:?On*May*14,*2014*Nora*D.*Volkow,*MD,*Director*of*the* Na,onal*Ins,tute*on*Drug*Abuse*(NIDA),*explained*to*the* Senate*Caucus*on*Interna,onal*Narco,cs*Control*“the* growing*and*intertwined*problems*of*prescrip,on*pain* relievers*and*heroin*abuse*in*this*country.”*People*begin* with*a*prescrip,on*for*a*narco,c,*get*hooked,*it*becomes* too*expensive*to*maintain*the*addic,on,*and*they*move*to* According*to*Volkow*the*three*causes*of*the*severity*of*the*current*problem*include:* 1.* Skyrocke,ng*increases*in*the*number*of*prescrip,ons*wri6en,* 2.* Greater*social*acceptance*of*using*medica,on,* 3.* Aggressive*marke,ng*by*pharmaceu,cal*companies.* To*see*the*transcript*of*Dr.*Volkow’s*tes,mony:?h"p://www.drugabuse.gov/about3 nida/legisla7ve3ac7vi7es/tes7mony3to3congress/2015/americas3addic7on3to3 opioids3heroin3prescrip7on3drug3abuse* The*Alliance*Newsle6er*Editor*asked*the*ques,on*of*two*integra,ve*medicine*and* addic,on*specialists*and*psychiatrists,*Hyla*Cass,*MD*of*Los*Angeles,*California*and* Alex*Zaphiris,*MD,*of*Mill*Valley,*California.** Alliance:?What's?really?behind?the?opiate?epidemic?? Dr.?Zaphiris:*We*live*in*a*society*where*any*pain*or*distress*needs*to*be*medicated,* where*people*feel*like*there*is*something*wrong*with*them*that*needs*fixing,*where* shame*keeps*us*silent*and*suffering.**We*are*a*society*that*numbs*out*and*distracts* itself*with*television,*video*games*and*social*media.**Prescrip,on*painkillers*are*just*a* more*extreme*coping*mechanism.**The*real*challenge*is*to*learn*how*to*deal*with* difficulty,*pain,*and*insecurity*and*then*to*teach*our*kids*the*same.* Dr.?Cass:*We’re*also*more*anxious*and*depressed*due*to*our*toxic*environment* including*food,*water,*electromagne,c*frequencies,*and*chemicals*in*products*we*use.* In*addi,on,*where*we*used*to*have*minor*procedures*and*were*told*to*take*an*aspirin* if*needed,*now*doctors*are*prescribing*strong*opiates*for*everything*and*con,nuing*to* refill*the*prescrip,ons.*?? 5 FALL 2015 Newsletter Volume 3, No 5 Dr.?Zaphiris:*Some*pa,ents*do*wonderfully*with*a*healthy*high*protein*low*carb/sugar* diet*along*with*the*right*combina,on*of*nutri,onal*supplements,*neuroRnutrients*and* behavioral*therapy.**I*am*grateful*to*Julia*Ross*for*her*clarity*in*teaching*the*neuroR nutrient*model.**It's*been*very*helpful*for*many*pa,ents*to*help*jumpRstart*their* recovery.*In*my*clinical*prac,ce*however,*I*have*found*that*this*approach*doesn't*work* for*everyone.**Like*a*diabe,c*pa,ent*who*needs*insulin,*some*opiate*addic,on* pa,ents*need*a*replacement*medica,on*to*slow*down*the*train*and*let*the*dust*se6le* so*they*can*get*back*on*track.* My*philosophy*is*"it's*not*either*or,*it's*both*and*more."**We*are*all*unique.*I*use*all* the*tools*necessary*to*help*each*individual*pa,ent*including:*neuroRnutrients,* nutri,onal*supplements,*dietary*changes,*mindRbody*approaches,*Osteopathy,*and*if* needed*buprenorphine*or*other*prescrip,on*medica,ons.*Whatever*it*takes.* Once*a*pa,ent*is*stable*and*doing*well*in*all*areas*of*their*life:*a*steady*job*and* suppor,ve*rela,onships,*robust*skills*to*manage*stress,*cravings*and*chronic*pain*and* they*have*a*new*sense*of*purpose*and*meaning*in*their*life,*then*I*slowly*taper*them* off*buprenorphine*using*all*the*integra,ve*tools*available.*(See*a*more*detailed* descrip,on*of*a*case*study*from*her*clinic*on*p.*)* Dr.$Zaphiris$offers$an$online$opiate$addic3on$recovery$program$at$ www.RecoverySuperstar.com.1Alliance$members$are$invited$to$join$a$webinar$she$will$ hold$for$her$recovery$program$community$in$January.$Her$general$prac3ce$website$is1 h3p://3609md.com1 SIGNS?OF?OPIATE?ADDICTION? Brenda1Cline,1MA,1MS,1LAADC,1LMFT*has*experienced*a*loved*one*addicted*to*pain* medica,on*and*sees*it*daily*in*her*work*as*Clinical*Director*of*Cedar*Point*Recovery*in* Sacramento,*California.*She*warns*that*the*following*seven*signs*of*a*problem*with* medica,on*may*show*up*in*a*loved*one*even*if*there*is*no*addic,on*history:****** •* Increased*sensi,vity* •* Isola,ng*oneself,*not*answering*the*phone* •* Impaired*coordina,on,*possibly*indicated*by*falls* •* Impaired*cogni,on,*difficulty*solving*simple*equa,ons* •* Forgeuulness,*repeat*himR*or*herself*over*and*over* •* Increased*tolerance*so*need*for*more*medica,on*for*breakthrough*pain* •* Personality*changes,*more*nega,ve,*always*complaining,*blaming,*irritability,* and*selfRpity.* ** According*to*Cline*It*can*take*a*while*but*keep*looking*un,l*you*find*a*doctor*who* understands*the*pain*syndrome*and*how*to*manage*it*effec,vely.* 6 FALL 2015 Newsletter Volume 3, No 5 NEW WEBSITE COMING SOON In September 2015, the Alliance announced the upcoming launch of a brand new website with a new look. Since this time we have been hard at work. Making the transition to our new website, while largely a success, has brought with it some challenges as well as opportunities. Yet we know it affords us the chance to grow as an organization. The Alliance’s vision is to provide a richer user experience with more features and individual choices. Some of the website’s new features will include; dynamic dropdown navigation, new membership payment system, quick links, and a rotating banner users can click on to navigate to the appropriate page for added information. The new website will be launched by the end of November 2015! Please keep an eye out for this official announcement on our new listserv system. The new site launch will be at the same web address: http://transformingaddiction.com/ CHAPTER NEWS Denver? If*you*have*an*idea*for*a*Denver*Chapter*event,*please*contact*Colorado* Chapter*Chair*Chris,na*Veselak,*LMFT,*CN*at* [email protected]* 7 FALL 2015 Newsletter Volume 3, No 5 Florida? Submi"ed?by:?Dr.?Paul?Bowman,?Jr.?? We*are*pleased*to*see*that*Alliance*member*Lyle* Fried*is*moving*into*larger*facili,es*in*South*Florida* to*serve*more*people*in*his*Shores*Recovery*Center.** Dr.*Joan*Collins*of*Stuart,*Florida,*is*also*on*the* grow*as*she*has*new*people*who*believe*in*her* vision*and*are*inves,ng*in*her*Artesian*Wellness* Recovery*Center(s)*concept.*Take*her*example*to* heart*and*hang*in*there*un,l*you*get*your*breakthrough!*Some,mes*it*comes*in*the* bo6om*of*the*9th*inning,*when*you*least*expect*it.*It*can*happen*for*you*too!* We*at*Bowman*Health*(h"p://BowmanHealth.com)?are*con,nuing*developing*our* Holis,c*Golf*Performance*Systems™*found*at*h"p://holis7cgolf.net?as*a*way*for* people*to*have*more*FUN*outside*and*exercise*neuromuscular*training*to*start*their* recovery*process*AND*develop*their*Natural*Golf*Swing*at*the*same*,me.* We*have*also*launched*an*everRmoreRperfected*first*of*many*courses*found*at*h"p://holis7c3 health3ins7tute.usefedora.com?our*new*online*school.*We*ask*AAS*members*to*be*part*of* our*vision*to*bring*the*best*and*latest*concepts*of*holis,c*health*to*a*world*of*people*in*pain.* We*can*help*people*find*you!*We*want*you*to*be*a*passionate*partner*and*submit*bio,* contact*info,*and*digital*material*that*typifies*how*your*story*has*impacted*you*becoming* more*well.*** If*you*pray,*please*do*so*as*it*seems*we*might*have*the*opportunity*(by*GOD'S*grace)*to*be* employed*by*The*Florida*Department*of*Correc,ons*as*a*holis,c*chaplain.**We*want*to* encourage*you*to*become*part*of*this*expanded*vision*and*mission*of*our*Florida*Alliance* Chapter.*Contact*me.*I*would*love*to*hear*your*vision*and*maybe*we*could*do*a*GoogleR Hangout*and*plan*to*record*a*real*,me*video*of*what*you*study,*prac,ce,*and*teach.* Submi6ed*by** Dr.*Paul*Bowman,*Jr.** Office:386331034417?? Cell:386345336532* Social*Media:*Www.facebook.com/BowmanHealth** Twi6er:www.twi"er.com/holis7cgolf* 8 FALL 2015 Newsletter Volume 3, No 5 TELE-CLASS SERIES The*teleRclasses*offer*educa,on,*connec,on,*inspira,on,*direc,on,*and*hope.*There*are*two* types*of*TeleRClasses,*the*Inspira,onal*Speaker*Series*and*the*Success*Story*Series*alterna,ng* each*month.* InspiraHonal1Speaker1Series11 This*series*highlights*those*prac,,oners*and*researchers*who*have*experienced*great*success* u,lizing*the*powerful*brain*transforming*methods*the*Alliance*promotes.*Each*speaker*will* highlight*a*par,cular*aspect*of*pharmaceu,calRfree*addic,on*recovery*with*case* presenta,ons*and*cuyng*edge*informa,on*you*can*easily*use*in*your*own*prac,ce*and*life.** The1Success1Story1Series11 This*series*will*focus*on*real*life*stories*of*how*people*struggling*with*addic,on*or*mood* disorders*have*turned*their*lives*around*through*amino*acid*therapy*and*other*methods*not* commonly*used*by*tradi,onal*programs.*The*second*half*of*the*call*is*a*Q&A.*This*is*an* excellent*opportunity*to*explore*the*leading*edge*of*addic,on*and*mood*disorder*recovery,* and*is*perfect*if*you*are*a*prac,,oner*interested*in*exploring*these*modali,es*in*your*own* work,*a*family*member/friend*of*someone*who*is*struggling,*or*you*are*struggling*yourself.** You?are?invited?to?join?us?for?the?Alliance?Community?Tele3Class?Series!? Each*class*is*audio*recorded*so*members*can*access*all*TeleRClasses*at*their*own* convenience*if*they*are*unable*to*par,cipate*live*or*if*they*want*to*hear*an*especially* useful*topic*again. The*first*four*teleRclasses*were*free*to*anyone.*Since*July*the*TeleRClasses*are*offered* to*current*members*of*the*Alliance*only.**Not*a*member*yet?*Become*a*member* today*by*clicking*this*link:?h"p://transformingaddic7on.com/membership/ applica7on/* Archived*topics*and*guest*speakers*include:** Dr.1Chas1Gant,1M.D.,1Ph.D.,*guest*speaker*for*the*Success*Story*Series.* Dr.*Gant’s*spoke*on*“A*New*Understanding*of*the*Role*of*Noradrenaline,*Methyla,on* and*Neurotransmi6ers*in*Addic,on*Recovery”.** ChrisHna1Veselak,1LMFT,1CN1and1Sheryl1L1Brickner1PhD,1LPC,1LAC,RPT/S*guest*speaker* for*the*Community*Inspira,onal*Speaker*Stories*on*Opiate*Recovery.* Julia1Ross,1MA,1MFT,1Sco31N.1Gillet,1LCSW1and1Dr.1Alex1Zaphiris,1,1MD,1MS,*for*Our* Quest*Success*Story*Speaker*Series.*Julia*Ross*moderated*the*call*and,*along*with* Sco6*Gillet*and*Dr*Alex*Zaphiris**shared*Opiate*Success*Stories.* 9 FALL 2015 Newsletter Volume 3, No 5 These*inspira,onal*classes*are*typically*held*the*first*Wednesday*of*every*month,*and* last*between*45R60*minutes*star,ng*at*the*following*,mes:** 11:00am*PT* 12:00pm*MT* 1:00pm*CT** 2:00pm*ET* NEW?CALL?IN?DETAILS:?To*par,cipate*in*December*or*learn*how*to*review*past*TeleRClasses* contact*the*administra,ve*office*for*the*CallRIn*Number*and*Mee,ng*ID*Code*at* [email protected]? SAVE THE DATE: December 2, 2015 Come?Meditate?With?Us!? Please*join*us*on*Wednesday,?December?2,? 2015?with*our*next*guest*speakers*PaH1Reiss,1 BA,1HHC,1NRC1and1Annabeth1Hinderling1for1 Our1Success1Story1Speaker1Series.11 Pa,*and*Annabeth*will*discuss*and*share* “Medita,on*in*Recovery,*Enjoying*the* Holiday*Season*Stress*Free”*and*exploring* how*to*bring*Medita,on*Prac,ce*into*our* daily*lives.** PaH1Reiss,1BA,1HHC,1NRC*is*a*cer,fied*holis,c*health*coach/nutri,on*recovery*coach,* educator*and*chef.*As*founder*of*High*Vibe*Recovery,*a*holis,c*recoveryRcoaching*program,* and*The*Holis,c*Gourmet*she*offers*cooking*classes,*food*&*nutri,on*educa,on*classes,* amino*acid*therapy,*medita,on,*and*movement*in*residen,al*treatment*programs*in*the*Salt* Lake*City*area.*She*also*coaches*clients*long*distance*throughout*the*country.*Through*her* own*healing*recovery*Pa,*has*found*that*vibrant*health,*hope*and*recovery*are*possible*and* advocates*this*in*all*her*teachings* Pa,*is*a*graduate*of*the*Ins,tute*for*Integra,ve*Nutri,on,*New*York*and*holds*a*Bachelor*of* Arts*in*Human*Services*&*Special*Educa,on*from*Trinity*College,*Vermont.**She*has* completed*The*NeuroRNutrient*Therapy*for*Addic,ve*Disorders*Training*with*Julia*Ross*in* June*of*2008*and*her*cer,fica,on*training*as*a*Recovery*Nutri,on*Coach*through*The*Alliance* for*Addic,on*Solu,ons*&*Chris,na*Veselak*in*2014.*She*has*been*a*board*member*of*The* Alliance*for*Addic,on*Solu,ons*since*2010*and*is*currently*the*President*of*the*Board*of* Directors.* Contact*Pa,*through*[email protected].?* 10 FALL 2015 Newsletter Volume 3, No 5 Annabeth1Hinderling$grew*up*in*La*Paz,*Bolivia*and*studied*Music*and*Movement*at*the*Music* Conservatory*in*Zurich,*Switzerland.*She*moved*to*the*United*States*and*has*taught*music*and* movement*here*for*the*past*35*years.*She*also*received*her*massage*therapy*license*and*completed* Level*2*Reiki.**Annabeth*expanded*her*work*by*volunteering*for*San*Diego*Hospice*and*for* "Resounding*Joy"*a*wonderful*Music*Therapy*Organiza,on*in*San*Diego.*She*has*completed*A* Mindful*Medita,on*Course*based*on*Jon*KabatRZinns*teachings*and*is*currently*involved*with*Insight* SD,*a*medita,on*group*that*meets*weekly*to*meditate*and*listen*to*podcasts*on*medita,on*led*by* Jack*Kornfield,*Sharon*Salzburg,*and*Joseph*Goldstein*and*others.* Through*these*trainings*and*her*own*daily*prac,ce*Annabeth*has*gained*many*helpful*tools* to*live*more*in*the*present*and*create*a*life*of*health*and*balance.** Annabeth*has*a*page*on*h"ps://about.me/hinderlingannabeth?titled*"Under*One*Sky*and*the* Gentle*Connec,ons”* SAVE THE DATE: January 13, 2016 “FOOD?GLORIOUS?FOOD”? Please*join*us*on*Wednesday,?January?13,?2016?with*a*panel*of*experts*in*the*food*and* recovery*field*for*our1InspiraHonal1Speaker1Series.1They*will*discuss*some**"ah*hahs"*on*Food* for*Recovery,*The*ProRRecovery*Diet,*The*Secret*Assassins*in*Food,*and*The*Healing*Power*of* Fermented*Foods.**More*details*on*the*guest*speakers*will*be*forthcoming*by*mid*December* 2015.** The*teleRclass*will*be*held*between*45R60*minutes*star,ng*at*the*following*,mes:** 11:00am*PT* 12:00pm*MT* 1:00pm*CT** 2:00pm*ET* Do1you1have1a1success1story1of1your1own?1If1so,1we1would1love1to1hear1from1you.11 [email protected] 11 FALL 2015 Newsletter Volume 3, No 5 Holistic Nutrition & Recovery Specialist PATI REISS BA, HHC, NRC HOLISTIC GOURMET FALL RECIPE Pumpkin Almond Cookies Ingredients? ¾*cup*of*almond*bu6er* ¼*cup*of*ghee*or*bu6er* 1/2*cup*of*coconut*flour** ½*cup*brown*rice*flour*(can*omit*if*grain*free)* ¼*cup*ground*flax*seeds* ½*tsp*baking*powder* 1*tsp*baking*soda* ½*tsp*salt* 2*tsp*ground*cinnamon* 2*tsp*ground*nutmeg* 2*tsp*ground*ginger* 1/8*cup*maple*syrup*or*molasses*(can*omit*if*sugar*free)* 2*freeRrange*eggs* 1R15oz*organic*pumpkin*or*fresh*pumpkin*flesh* ¼*cup*dried*cherries*or*cranberries*(op,onal)* Direc7ons? Preheat*oven*to*325*and*grease*cookie*sheet*(I*use*coconut*oil*or*ghee).*In*a*large*bowl*mix* flours,*spices,*baking*powder,*baking*sods,*sea*salt,*and*ground*flax*seeds.*In*another* medium*bowl*beat*eggs*and*mix*in*melted*bu6er*or*ghee,*maple*syrup/molasses,*and* pumpkin.*Use*a*tablespoon*to*drop*the*dough*on*a*greased*cookie*sheet*or*roll*a*generous* tablespoon*full*of*dough*into*balls*between*your*palms*and*place*on*the*cookie*sheet,*then* press*gently*to*slightly*fla6en*them*out.*Add*a*cherry*or*cranberry*in*center*of*cookie*and* bake*about*7R10*minutes.* Bon*Appe,t!* PaH1Reiss1 The*Holis,c*Gourmet* 12 FALL 2015 Newsletter Volume 3, No 5 HONORED PIONEER Kenneth?Blum,?PhD? The*original*research*on*brain*chemistry*and*nutri,on* performed*by*Kenneth*Blum,*PhD*during*the*past*47*years*has* been*both*wind*and*compass*for*the*founders*of*our*Alliance*as* they*set*sail*on*their*own*clinical*adventures*in*neuronutri,on* as*well*as*for*the*en,re*world,*inspiring*a*blossoming*of*the* field*of*neuropsychopharmacology*and*what*Blum*calls* Neuroadaptagen*AminoRAcid*Therapy.** Blum*has*published*over*a*dozen*books*and*wri6en*or* contributed*to*over*500*scien,fic*papers.*He*began*his*research* in*1968*at*the*Southwest*Medical*Founda,on*where*he* discovered*the*connec,on*between*darkness*and*drinking*as*regulated*by*our*pineal*gland’s* release*of*melatonin.*In*1972*he*moved*to*the*University*of*Texas*Health*Science*Center*at* San*Antonio*where*his*research*flourished,*including,*among*many*other*discoveries:* • The*shared*neurochemical*mechanisms*between*alcohol*and*opiates,*showing*the* narco,c*antagonist*Naloxone*blocked*alcohol*as*well*as*narco,cs.*This*led*to*today’s* use*of*the*pharmaceu,cal*Naltrexone*to*treat*alcoholism*and*opiate*addic,on.* • The*biochemical*basis*of*alcoholism.*He*excited*the*scien,fic*world*with*his*1990* Journal*of*the*American*Medical*Associa,on*paper*announcing*the*existence*of*what* has*been*popularly*called*an*alcoholism*gene.*(Allelic*Associa,on*of*Human* Dopamine*D2*Receptor*Gene*in*Alcoholism,*Kenneth*Blum,*PhD;*Ernest*P.*Noble,*PhD,* MD,*JAMA.$1990;264(14):1808R1809.*doi:10.1001/jama.1990.03450140027016).* • Proof*DRphenylalanine*reduced*alcohol*seeking*even*in*gene,callyRprone*alcohol* seeking*mice,*ini,a,ng*the*field*of*pharmacogene,c*engineering.*(Blum,*K.,*et*al.,* Enkephalinase*Inhibi,on:*regula,onof*ethanol*intake*in*gene,cally*predisposed*mice,* Alcohol,*4:449,*1987)* • Coining*the*expression*Reward*Deficiency*Syndrome*(RDS)*to*explain*the* interconnectedness*of*cravings*and*behaviors*due*to*neurotransmi6er*deficiencies,* most*importantly*of*dopamine.* • A*patented*formula*for*weight*loss*involving*DRphenylalanine,*chromium,*and* rhodiola,*one*of*a*plethora*of*addic,on*treatment*patents*owned*by*Blum.* In*1982*Blum*began*formula,ng*an*amino*acidRbased*nutri,onal*supplement*to*counteract* cravings*for*alcohol.*He*called*the*commercial*product*SAAVE™,*and*went*on*to*create* 13 FALL 2015 Newsletter Volume 3, No 5 Tropamine™*for*cocaine*dependence,*SAAVE*Plus™*for*opiate*dependence,*and*PhenCal™*for* food*dependence*and*obesity.*In*a*new*itera,on*his*basic*formula,*now*called*Synaptamine™* or*KB220Z™,*has*proven*itself*able*to*improve*brain*func,on*in*heroin*addicts*(rsfMRI*effects* of*KB220Z™*on*neural*pathways*in*reward*circuitry*of*abs,nent*genotyped*heroin*addicts,* Kenneth*Blum,*et*al.,*Postgraduate*Medicine*vol.127*(2),*2015)*and*brain*volume*in*rodents* (about*to*be*published).** A^er*re,ring*from*the*University*of*Texas*Blum*became*an*adjunct*professor*in*the* Department*of*Pharmacology,*Wake*Forest*University*Medical*School,*then*a*volunteer* professor*in*the*Department*of*Psychiatry*&*McKnight*Brain*Ins,tute,*University*of*Florida* College*of*Medicine.*As*this*newsle6er*is*going*to*print*he*is*presen,ng*his*newest*research* at*scien,fic*mee,ngs*in*Scotland,*the*Netherlands,*and*Sweden.* Like*a*reverse*Johnny*Appleseed*who*planted*apple*trees*to*produce*alcoholic*cider,*for* nearly*half*a*century*Blum*has*been*plan,ng*the*seeds*of*nutri,onal*sources*of*addic,on* treatment*with*exhuberant*abundance.* And*the*full*flowering*of*his*work*is*s,ll*not*completed.*At*present*he*has*partnered*with* Dominion*Diagnos,cs*of*Rhode*Island*to*create*a*lab*test*to*iden,fy*the*likelihood*of*a* gene,c*predisposi,on*for*addic,on*(h6ps://www.dominiondiagnos,cs.com/educa,on/ gene,cRaddic,onRriskRscoreRgarsRmolecularRneurogene,cRevidenceRpredisposi,onRreward).*** In*addi,on*Blum*recently*announced*the*launch*of*the*first*issue*of*the*Journal*of*Reward* Deficiency*Syndrome*which*he*is*coRedi,ng.**Find*the*journal*at:?h"p:// blumsrewarddeficiencysyndrome.com? What’s*more*he’s*a*fun*guy*to*be*around.*Every*,me*you*meet*up*with*him* he’s*got*a*joke*for*you,*a*new*discovery*for*the*world,*and*speaking*from* experience,*an*endearing*generosity*of*spirit*(exemplified*for*me*by*helping* him*briefly*with*a*paper*he*was*wri,ng*on*ear*acupuncture*and*unexpectedly* finding*my*name*listed*as*collaborator.*A^er*half*a*century*of*giving*us*the* evidence*that*pharmaceu,calRfree*treatments*for*addic,on*can*change*brain* chemistry*for*the*be6er*it’s*long*overdue*that*we*name*Dr.*Kenneth*Blum,* PhD,*our*Fall*2015*Honored*Pioneer. Reuben,*C,*Chen,*T.J.H,*Blum,*S.H.*Braverman,*E.,*Waite,*R.,*Miller,*J.,*Sewall,*S.,*Blum,*K.,* Meshkin,*K.,*Mengucci,*J.*(2005).*Acupuncture*&*auriculotherapy:*valuable*natural*treatment* modali,es*for*addic,on.*Townsend*Le6er*for*Doctors*and*Pa,ents.*269*(81),*84.* 14 FALL 2015 Newsletter Volume 3, No 5 BOOK REVIEWS Body?Burden?Unleashed?? Review?by:??Chris7na?Veselak,?LMFT,?CN? extreme*sports.** In*my*desire*to*learn*more*about*the*longRterm*physiological* effects*of*the*trauma*and*PTSD*which*affect*many*of*our* addicted*clients*I*have*been*rereading*the*highly*enlightening* book*The*Body*Bears*the*Burden,*by*Robert*C.*Scaer,*MD* (Routledge,*2014).*Scaer*is*a*pioneer*researcher*in*how*trauma* gets*lodged*in*the*nervous*system.*In*this*book*he*explores*the* significant*role*endorphin*release*plays*in*the*freeze*response* of*trauma,*healthy*infan,le*bonding,*trauma,c*bonding*with* abusive*caretakers*which*leads*to*trauma*bonding*in*later*life* (such*as*in*Domes,c*Violence),*and*the*compulsive*nature*of* Scaer*postulates*that*the*anxiety,*restlessness,*and*insomnia*that*plague*some*extreme* athletes*between*episodes*of*ac,vity*might*be*endorphin*withdrawal,*as*opposed*to* adrenaline*withdrawal.*(2001,*pg.*94)* One*of*my*takeaways*from*reading*this*book*is*to*start*using*DPA*(the*amino*acid*DR phenylalanine)*not*only*with*adrenaline*junkies*but*also*with*my*vic,ms*of*Domes,c* Violence,*in*hopes*that*the*nutri,onal*support*will*help*prevent*a*biochemicallyRdriven*return* to*the*violent*rela,onship.* Surviving?Success? Review?By:?Dr.?Paul?Bowman,?Jr? Prepare*now*to*be*able*to*handle*success.*It*is*a*thousand*,mes* more*difficult*than*overcoming*failure.** Read*Dr.*John*Maxwell's*book*The*360*Degree*Leader:*Developing* Your*Influence*from*Anywhere*in*the*Organiza,on*(Thomas* Nelson,*2011)*for*starters.*It*will*bless*you*and*expand*your* thinking*about*your*abili,es*to*influence*others*right*from*where* you*are*now.*It*will*help*you*to*see*where*you*could*go*in*the* future*as*a*holis,c*leader.* 15 FALL 2015 Newsletter Volume 3, No 5 American?Pain? Review?by:?Carolyn?Reuben,?LAc Three*Florida*men*who*are*now*in*prison*made*$40*million*in* two*years*a^er*a*Craig’s*List*ad*for*doctors*provided*them*several* who*were*willing*to*write*prescrip,ons*for*pain*medica,ons*for*a* safe*full*of*drugs*bought*wholesale.*The*clinic*name*changed* o^en*as*a*way*to*avoid*prosecu,on.*Its*last*incarna,on*was* American*Pain*and*that’s*what*it*caused*to*whole*communi,es*in* Appalachia*as*thousands*of*people*through*Kentucky,*Tennessee,* and*beyond*were*forced*by*finances*to*move*from*prescrip,on* pills*to*street*heroin.*** The*book*details*the*corporate*web*that*supported*this* enterprise*of*addic,on*and*devasta,on,*the*MRI*companies,*the*radiologists*who*read*the* reports,*the*urine*sold*in*flea*markets*to*ace*urine*tests,*and*the*pharmaceu,cal*giant*behind* America’s*favorite*opiate,*Oxycon,n.*See*Ellie*Robins’*report*for*a*longer*review*on*this* important*inves,ga,ve*journalism*effort*to*iden,fy*the*why*behind*the*woe*of*our*opiate* epidemic:*h6ps://www.thefix.com/johnRtempleRandRamericanRpain* EXPERT ADVICE Alex1Zaphiris,1M.D.,1M.S.,$is$an$Integra3ve$MD,$Board$Cer3fied$in$Family$Medicine$and$ Addic3on$Medicine.$$She$completed$a$2Iyear$fellowship$in$Integra3ve$Medicine$with$Dr.$ Andrew$Weil$and$a$year’s$neuroInutrient$training$with$Julia$Ross.$$She's$a$member$of$the$ Alliance$for$Addic3on$Solu3ons$and$sees$pa3ents$for$integra3ve$medicine,$primary$care$and$ addic3on$recovery$in$Marin$County,$California.$ ANer$seeing$the$opiate$epidemic$soar$out$of$control$and$how$it$has$affected$close$family$ members$and$friends$as$well$as$millions$of$other$Americans,$Dr.$Zaphiris$developed$Recovery$ Superstar,$a$12Iweek$online$educa3on$and$support$program$for$people$in$recovery$from$ opiate$addic3on.$$Recovery$Superstar$applies$the$latest$advances$in$neuroplas3city$and$ integra3ve$mental$health$to$help$people$with$opiate$addic3on$heal$their$brains$and$ successfully$live$an$opiateIfree$life.$ In$this$Clinical$Case$Report$Dr.$Zaphiris,$an$Alliance$member,$describes$using$Suboxone,$ a$prescrip3on$pharmaceu3cal$composed$of$buprenorphine$and$naloxone.$ Buprenorphine$is$a$narco3c$that$specially$trained$doctors$are$allowed$to$prescribe$to$ heroin$users$as$a$legal$alterna3ve$to$heroin.$The$buprenorphine$stops$withdrawal$ symptoms$but$doesn’t$provide$the$high$of$heroin.$Naloxone$is$an$opioid$antagonist,$ meaning$it$stops$an$opioid$from$aTaching$to$an$opiate$receptor$site.$Naloxone$in$the$ formula$deters$addicts$from$abusing$the$buprenorphine$since$the$naloxone$is$ac3vated$ only$if$the$buprenorphine$is$injected$in$an$aTempt$to$get$high.$When$ac3vated$the$ 16 FALL 2015 Newsletter Volume 3, No 5 Naloxone$throws$the$user$immediately$into$drama3cally$unpleasant$withdrawal.$ Although$the$Alliance$advocates$pharmaceu3calIfree$treatments,$we$felt$it$important$ to$demonstrate$how$an$integra3ve$physician$can$move$a$pa3ent$through$and$beyond$ using$narco3cs,$as$Dr.$Zaphiris$does$with$this$pa3ent$even$though,$for$now,$the$pa3ent$ is$s3ll$on$a$low$dose$of$an$an3depressant.$$ You*can*find*out*more*at:*www.3603MD.com?and*www.RecoverySuperstar.com* Clinical Case from the Practice of Alex Zaphiris, MD 42*year*old*male*a6orney*with*a*6*month*history*of*Oxycon,n*addic,on.**He*is*using*80*to* 100*mg*per*day*as*much*as*200R300*mg*in*past.**He*tried*quiyng*on*his*own*over*the*past*4* months*and*wasn’t*able*to.*He*comes*in*reques,ng*Suboxone.**He*is*married*with*2*small* children*and*his*wife*is*unaware.**His*medical*history*is*notable*for*Anxiety*and*Depression.** He*currently*takes*Paxil*10mg*per*day*as*well*as*the*Oxycon,n.**He*has*a*history*of*cocaine* abuse*in*past*and*went*through*12*Step*recovery.*He*was*sober*from*2004R2008*and*did*well* un,l*6*months*ago*when*he*started*using*opiates.**He*is*a*light*smoker*and*has*2*drinks*a*day.* His*ini,al*exam*was*normal*with*a*borderline*blood*pressure*of*140/100.**He*was*started*on* Suboxone*8*mg*/day.***He*was*seen*monthly*for*follow*up.**His*induc,on*went*well*and*he* reported*no*cravings*to*use*on*Suboxone.*He*started*seeing*a*therapist*to*discuss*his* challenges*with*addic,on.**He*also*reported*taking*alprazolam*0.25*mg*every*other*day*for* sleep*and*that*he*runs*once*a*week*for*stress*management.**He*was*mo,vated*to*taper*down* and*within*2*months*he*was*on*Suboxone*2*mg*/*day.***He*also*stopped*Paxil*10*mg*1*month* ago*and*had*mild*withdrawal*symptoms*which*resolved*quickly.**He*reported*taking* alprazolam*daily*for*the*last*week.*He*was*started*on*several*amino*acids*to*help*with*being* off*Paxil,*to*limit*use*of*alprazolam*and*help*him*taper*off*Suboxone.** Kavinace*1R3*tabs*at*bed,me*(aka*Phenibut,*similar*to*GABA)* Somnolin*1R3*tabs*at*bed,me*(5HTP,*Theanine*with*B6,*B12*and*Folate)* He*also*reported*drinking*2*cups*of*coffee*in*AM*with*a*diet*coke*in*a^ernoon*and*that*he*has* been*chewing*nico,ne*gum*more*with*tapering.* The*next*month*he*was*started*on*DLPA*2*tabs*in*the*morning*to*help*build*dopamine*and* endorphins*and*limit*caffeine*usage.*He*was*encouraged*to*increase*cardio*to*every*other* day.* By*the*next*month,*he*was*down*to*Suboxone*1.25*mg*/*day.**However,*he*was*having*some* difficulty*with*insomnia*and*anxiety*and*wanted*to*go*back*on*an*SSRI.**Since*he*had*sexual* side*effects*previously*on*Paxil,*he*was*started*on*Celexa*instead,*along*with*the*following:** AM:**Mul,vitamin/mineral*such*as*Nutrient*950,*a*high*quality*mul,*from*Pure* Encapsula,ons)*and*SSRI,*DLPA*1R2*caps,*tyrosine*1R2*caps* PM:**tryptophan*2*caps*at*bed,me,*Kavinace*2*caps* 17 FALL 2015 Newsletter Volume 3, No 5 Nutri,onally,*he*generally*eats*fairly*well.*He*was*encouraged*to*eat*a*high*protein*breakfast* and*limit*simple*sugars.**By*the*next*month,*he*was*down*to*Suboxone*0.5*mg/*day*and*he* stopped*taking*it*shortly*therea^er*with*amino*acid*support.*Suboxone*tapering*went*well.** He*had*no*withdrawal*and*felt*fine.*However,*within*a*week*or*so*things*unraveled.**He* started*taking*opiates*again,*40R100*mg*/day*and*using*cocaine.**He*started*again*on* Suboxone*on*his*own,*using*some*he*had*le^*over*to*try*and*get*off*the*Oxycon,n.*Suboxone* comes*packaged*as*a*sublingual*film*(like*a*Listerine*breath*strip)*that*dissolves*under*the* tongue.*His*wife*found*his*Suboxone*film*on*New*Year’s*Day*and*he*was*forced*to*disclose*his* usage*to*her.**He*started*going*to*NA*mee,ngs*again.* We*restarted*Suboxone*8/2*mg*film*and*discussed*next*steps*with*his*therapist.**We* recommended*an*intensive*out*pa,ent*program*(IOP)*for*him*to*help*get*back*on*track.*We* found*a*program*covered*by*his*insurance*and*he*joined*a*3Rmonth*IOP.**He*did*very*well.**He* shi^ed*his*life*focus*and*decided*to*stay*home*with*his*kids*for*a*while*un,l*he*finds*a*job* that*will*allow*him*to*con,nue*his*recovery*safely.**He*did*an*addi,onal*3*months*of*the*IOP* program,*for*6*months*total*and*slowly*tapered*off*Suboxone*a*second*,me.**He*has*stayed* on*Celexa*and*knows*how*to*take*addi,onal*amino*acids*as*needed*during*,mes*of*stress.** He*is*doing*very*well*off*all*opiates.*** Clinical?Comments:? The*first*,me*he*went*on*Suboxone*he*was*in*rush*to*get*off*of*it*and*didn’t*want*to*tell*his* wife.**He*wanted*to*pretend*his*addic,on*to*Oxycon,n*hadn’t*happened*and*wanted*to*go* back*to*his*life*as*quickly*as*possible.**That*didn’t*work.**His*wife*finding*his*medica,on*was* actually*the*best*thing*that*could*have*happened.**It*forced*him*to*confront*his*addic,on*and* deal*with*it.**The*IOP*gave*him*the*skills*and*tools*he*needed*and*the*amino*acids*gave*him* the*nutrients*his*brain*needed*too.*As*I*did*here,*I*usually*start*with*GABA*and*serotonin* support*to*help*with*evening*anxiety*and*sleep*and*then*add*dopamine*support*aminos*in* the*morning*to*help*with*energy*and*focus.*He*is*a*beau,ful*example*of*my*“it’s*not*either*or,* it’s*both*and*more”*approach.**He*is*at*risk*of*relapse*but*he*knows*the*warning*signs,*his* wife*is*on*board,*and*he’s*not*going*back*to*his*high*stress*job*near*the*Tenderloin.**Most* importantly,*he*realized*addic,on*is*a*vulnerability*he*will*have*for*the*rest*of*his*life*and*he* has*to*take*ac,ons*every*day*to*promote*his*recovery.** RESEARCH ROUNDUP Medical?Morphine?From?Yeast? Heroin*may*become*as*easy*to*produce*as*homemade*beer*in*the* near*future,*as*an*unintended*consequence*of*a*discovery*by*UC* Berkeley*bioengineer*John*Dueber*and*colleagues.*Dueber,* graduate*student*William*DeLoache,*and*their*team*found*the*up* to*now*missing*enzyme*to*transform*the*amino*acid*LRtyrosine*into* LRDOPA*and*then*into*SRre,culine,*which*is*necessary*to*change* glucose*into*morphine.*This*process*involves*the*synthesis*of* 18 FALL 2015 Newsletter Volume 3, No 5 benzylisoquinoline*alkaloids*through*microbial*synthesis*rather*than*the*usual*opium*poppy* manufacturing*process.*Though*at*present*the*process*needs*two*different*yeast*strains*the* scien,sts*expect*that*within*a*ma6er*of*two*or*three*years*they*may*only*need*one.*And* then,*they*figure,*it*will*be*,me*for*policymakers*and*scien,sts*to*have*a*heart*to*heart.** See*www.dueberlab.berkeley.edu?or*Brewing*Trouble;*Natalie*Stevenson;*California* Magazine,*Fall*2015,*p.13R14;*July,*2015*Nature*Chemical*Biology;*William*C*DeLoache,*et*al;* An*enzymeRcoupled*biocensor*enables*(S)Rre,culine*produc,on*in*yeast*from*glucose;* published*online*18*May,*2015* Addicted?Baby?Born?Each?Hour? By*2009*once*each*hour*some*baby*somewhere*in*the*USA*was*born*addicted*to*opiates,* according*to*University*of*Michigan*research*and*there*is*no*indica,on*that*figure*is*any*less* today.*The*average*length*of*stay*in*the*hospital*with*neonatal*abs,nence*syndrome,* meaning*withdrawal*from*opiates,*is*16.4*days*compared*to*3.3*for*those*without*NAS*and* the*hospital*cost*in*2009*for*newborns*with*NAS*was*$53,400*compared*to*$9,500*for*babies* without*NAS.* University*of*Michigan*Health*System*(2012,*April*30).*About*one*baby*born*each*hour* addicted*to*opiate*drugs*in*U.S..*ScienceDaily.*Retrieved*May*1,*2012,*from*h"p:// www.sciencedaily.com?/releases/2012/04/120430190537.htm?and*h"p:// www.drugabuse.gov/related3topics/trends3sta7s7cs/infographics/maternal3opiate3use3 newborns3suffering3opiate3withdrawal3are3rise3in3us* * Acupuncture?Influences?Same?Pain?Pathways?As? Drugs? Using*an*animal*model*a*researcher*who*is*both*a*nurse* anesthe,st*and*acupuncturist*at*Georgetown*University* Medical*Center*found*that*electrical*s,mula,on*of*the* point*“stomach?36”*on*the*leg*reduced*the*produc,on*of* stress*hormones*in*the*hypothalamusRpituitaryRadrenal* (HPA)*axis.* (Picture:1Leg1model1is1poinHng1to1stomach136)1 This*is*the*known*pathway*used*in*humans*as*well*as*animals*to*deal*with*chronic* pain,*immune*s,mula,on,*and*emo,onal*distress.**The*researcher,*Ladan*Eshkevari,** PhD,*CRNA,*LAc*pointed*out*that*we*aim*to*stop*depression*and*anxiety*by*using* pharmaceu,cals*that*work*the*same*exact*pathways.** Ladan*Eshkevari,*Susan*E.*Mulroney,*Rupert*Egan,*Lixing*Lao.*Effects*of*Acupuncture,*RUR486* on*the*HypothalamicRPituitaryRAdrenal*Axis*in*Chronically*Stressed*Adult*Male*Rats.* 19 FALL 2015 Newsletter Volume 3, No 5 Endocrinology,*2015;?EN.201531018?DOI:?10.1210/EN.201531018?and*Georgetown*University* Medical*Center.*"Acupuncture*impacts*same*biologic*pathways*in*rats*that*pain*drugs*target* in*humans."*ScienceDaily,*21*July*2015.?www.sciencedaily.com/releases/ 2015/07/150721134820.htm? * Legal?Drugs?the?Bigger?Problem? Almost*5%*of*the*world’s*adult*popula,on*(240* million*people)*have*an*alcohol*use*disorder* and*more*than*20%*(1*billion*people)*smoke* tobacco.*The*number*of*people*injec,ng*drugs* is*es,mated*at*around*15*million.*These* sta,s,cs*were*published*in*the*Journal* Addic3on*on*May*12,*2015.* The*study,*called*“Global*Sta,s,cs*on*Addic,ve* Behaviours:*2014*Status*Report,”*was*commissioned*by*the*journal*and*indicates*that*harm* to*society*from*legal*drugs*is*far*more*than*the*harm*from*illegal*drugs*(257*disability* adjusted*life*year*per*100,000*of*popula,on*for*alcohol*use*compared*to*83*for*illegal*drug* use.*Most*sobering*is*the*comment*by*the*journal’s*EditorRinRChief*University*College*of* London*Professor*Robert*West*who*also*coauthored*the*report:*“It*is*a*stark*reminder*of*how* the*need*to*create*shareholder*value*can*work*against*global*health*and*wellbeing.”** Linda*R.*Gowing,*Robert*L.*Ali,*Steve*Allsop,*John*Marsden,*Elizabeth*E.*Turf,*Robert*West,* John*Wi6on.*Global*sta,s,cs*on*addic,ve*behaviours:*2014*status*report.*Addic3on,*2015;* 110*(6):*904*DOI:*10.1111/add.12899*Wiley.*"A*sobering*thought:*One*billion*smokers*and* 240*million*people*with*alcohol*use*disorder,*worldwide."*ScienceDaily,*12*May*2015.* www.sciencedaily.com/releases/2015/05/150512152746.htm* Ea7ng?Cheaply?but?Ea7ng?Well? According*to*Sid*Kirchheimer,*in*his*Your* Money*column*in*the*September*2015* AARP*Bulle,n*(p.*18),*Some*of*the*most* nutri,ous*and*least*expensive*foods*include* these*11*items:*bananas,*beans,*len,ls,* cabbage,*canned*salmon,*carrots,*green* tea,*black*tea,*oatmeal,*peanut*bu6er,*and* sweet*potatoes.* 20 FALL 2015 Newsletter Volume 3, No 5 Ea7ng?for?Pain?Relief? The*editors*at*Readers*Digest*claim* research*suggests*these*14*foods,*spices,* and*drinks*and*can*help*reduce*pain:* Coffee,*cherries,*olive*oil,*sage,*ginger,* green*tea,*salmon,*cayenne,*cinnamon,* cloves,*turmeric,*garlic,*soy,*and* pineapple.* h"p://www.rd.com/health/condi7ons/ an73inflammatory3foods/? * Nutri7on?and?Botanicals?for?Pain?Relief? Alex*Vasquez*is*a*chiropractor,*naturopath,*and* osteopathic*physician*and*would*like*the*Western* medical*world*to*stop*rushing*to*prescribe*toxic*an,R inflammatory*drugs*and*addic,ve*opioids*when*the* natural*world*offers*pain*relievers*and*an,R inflammatory*substances*without*major*adverse* consequences.*In*a*three*part*ar,cle*in*the*Journal*of* the*Council*on*Nutri,on*of*the*American*Chiroprac,c* Associa,on*(vol.*28,*NO.*2)*Vasquez*lists*these* commonly*used*and*wellRresearched*interven,ons:* vitamin*D,*glucosamine*and*chondroi,n*sulfate,* niacinamide,*vitamin** D,*proteoly,c*enzymes*(which*also*can*inhibit*tumor*growth),*Devil’s*Claw*(Harpagophytum* procumbens),*Willow*bark*(Salix*spp),*and*Boswellia*(Boswellia*serrata).*For*details*including* dosages*see*the*ar,cle*at*h"ps://www.academia.edu/12764110/ Reducing_Pain_and_Inflamma7on_Naturally_Part_3_Improving_Overall_Health_While_Saf ely_and_Effec7vely_Trea7ng_Musculoskeletal_Pain._Nutr_Perspect_2005*and*more*of*Dr.* Vasquez*work*at*ICHNFM.org.* Yoga?Helps?Chronic?Pain?of?Rheumatoid?Arthri7s,? Fibromyalgia? A^er*an*eightRsession*classical*yoga*program*with*postures,* breathing*exercises,*and*medita,on,*there*were*improved*quality*of* life*scores*and*a*significant*reduc,on*in*anxiety*compared*to*before* the*program*began.**These*studies*occurred*in*the*United*Arab* Emirates.*European*League*Against*Rheuma,sm*(2011,*May*28).* Siginificant*benefits*of*yoga*in*people*with*rheumatoid*arthri,s,* study*shows.*ScienceDaily.*Retrieved*May*29,*2011,*from?h"p:// www.sciencedaily.com/releases/2011/05/110526064641.htm* 21 FALL 2015 Newsletter Volume 3, No 5 GABA?Helps?People?Priori7ze? GABA*is*known*for*its*speedy*ability* to*stop*anxiety*and*muscle*tension.* New*research*from*the*Leiden* Ins,tute*of*Brain*and*Cogni,on*and* from*the*Technical*University*of* Dresden*reveals*a*brand*new*benefit* of*this*popular*supplement.*It*helps* people*improve*their*ability*to* priori,ze*planned*ac,ons,*such*as* driving*a*car*in*stop*and*go*traffic.*The*researchers*divided*30*par,cipants*into*two*groups.* One*received*800mg*of*GABA*mixed*with*orange*juice.*The*other*received*a*placebo*in*their* orange*juice.*Each*group*was*required*to*perform*a*task*that*had*to*be*changed*before* comple,on*to*a*new*task.*The*research*was*measuring*how*fast*the*par,cipants*could*inhibit* one*response*when*another*overlapping*ac,on*was*needed.*The*GABA*group*had*clearly* enhanced*performance*in*this*study*paradigm.* Laura*Steenbergen,*et*al.*γ-Aminobutyric acid (GABA) administration improves action selection processes: a randomised controlled trial.*Scien3fic$Reports,*2015;*also* Nederlandse*Vereniging*voor*Psychonomie*(NVP).*"GABA*supplementa,on*improves*planning* for*ac,ons,*study*shows."**ScienceDaily,*18*August*2015.?www.sciencedaily.com/releases/ 2015/08/150818090252.htm* Laughing?Away?Pain? Elderly*pa,ents*in*a*Hong*Kong*nursing*home*with*chronic*pain*who*par,cipated*in*an*8R week*humor*therapy*program*reported*significant*decreases*in*pain*compared*to*a*similar* group*of*pa,ents*who*didn’t*par,cipate*in*humor*therapy.*The*par,cipants*also*reported* reduced*percep,on*of*loneliness*and*significant*increases*in*happiness.* Mimi*M.*Y.*Tse,*et*al;*Humor*Therapy:*Relieving*Chronic*Pain*and*Enhancing*Happiness*ifor* Older*Adults;*Journal*of*Aging*Research,*vol*2010*(2010),*ar,cle*ID*343574*h"p:// www.hindawi.com/journals/jar/2010/343574/? Tapping?Away?Pain? Tapping*with*fingers*on*acupuncture*points*has* become*a*popular*method*of*reducing*emo,onal*and* physical*pain.*Originally*developed*as*a*phobia*cure*by* the*late*psychologist*Roger*J.*Callahan,*PhD*(he*called*it* Thought*Field*Therapy)*and*fine*tuned*by*one*of*his* students,*Gary*Craig,*the*tapping*technique*has* become*a*worldwide*phenomenon*for*improving* finances,*stopping*smoking,*reducing*the*consequences* of*burns,*bone*breaks,*and*car*accidents,*and* ameliora,ng*the*whole*spectrum*of*human*trauma,c* experiences*both*real*and*imagined.*Craig*called*his* 22 FALL 2015 Newsletter Volume 3, No 5 system*Emo,onal*Freedom*Technique*(EFT)*and*turned*his*distress*over*how*disciples* created*their*own*spin*on*his*work*by*adding*a*banner*to*his*website*that*proclaims*The* Home*of*Gold*Standard*EFT™*(Emo,onal*Freedom*Techniques)*The*Most*Imitated*Healing* Method*in*History*(www.emofree.com).**Tapping*on*the*nine*stress*reduc,on*points*in*the* order*Craig*designed*and*using*his*verbal*algorithm*has*been*proven*successful*in*mul,ple* research*studies.*See*Dawson*Church*et*al,*Psychological*trauma*symptom*improvement*in* veterans*using*emo,onal*freedom*techniques:*a*randomized*control*trial;*J*Nerv*Ment*Dis,* 2013*Feb:201(2):153R60**h"p://www.ncbi.nlm.nih.gov/pubmed/23364126?You*can*learn* how*to*do*EFT*via*mul,ple*YouTube*videos*on*“tapping*for*pain*relief.”* HUMOR The*man*went*to*his*doctor*and*told*him*that*he*hadn't*been*feeling*well*lately.*The*doctor* examined*the*man,*le^*the*room,*and*came*back*with*four*different*bo6les*of*pills.* The*doctor*said,*"Take*the*green*pill*with*a*big*glass*of*water*when*you*wake*up.*Take*the* blue*pill*with*a*big*glass*of*water*a^er*you*eat*lunch.*Take*the*orange*pill*with*a*big*glass*of* water*at*dinner.*Then*just*before*going*to*bed,*take*the*red*pill*with*another*big*glass*of* water."* Startled*to*be*put*on*so*much*medicine,*the*man*stammered,*"Doc,*exactly*what*is*my* problem?"* The*doctor*replied,*"You're*not*drinking*enough*water."* LETHAL COMBINATIONS By?Hyla?Cass,?MD? Not*everyone*who*dies*from*drug*use*has*overdosed.*Both*the*tragic*deaths*of*actors*Heath* Ledger*and*Philip*Seymour*Hoffman*were*not*related*to*taking*too*much*of*one*drug*but* rather*were*the*result*of*a*lethal*combina,on*of*different*drugs.*This*sad*consequence*of* poly*drug*use*is*so*common*it*has*a*name:*lethal*polydrug/polypharmacy*intoxica,on* or*combined*drug*intoxica,on*(CDI)?[h"ps://en.wikipedia.org/wiki/ Combined_drug_intoxica7on].* CDI*deaths*can*be*caused*by*prescrip,on,*overRtheRcounter,*recrea,onal,*or*other*drugs*as* well*as*herbs,*alcoholic*beverages,*and*home*remedies.*For*example,*Heath*Ledger*was*said* to*be*suffering*from*insomnia*and*a*bad*respiratory*infec,on.*He*died*of*an*accidental* overdose*of*benzodiazepines*(usually*used*for*anxiety),*oxycodone*(usually*used*for*pain),* 23 FALL 2015 Newsletter Volume 3, No 5 and*an*an,histamine*(probably*used*to*treat*his*respiratory*conges,on).*It*was*probably*an* accidental*death*due*to*his*ignorance*of*the*power*of*drug*interac,ons,*his*liver’s*gene,cally* inherited*ability*or*lack*of*ability*to*detoxify*chemicals,*and*whatever*lifestyle*choices*he*had* made*that*impacted*his*biochemical*resilience.*Perhaps*his*death,*being*so*prominent*and* shocking,*will*remind*the*public*to*not*mix*drugs.*Even*an*an,histamine,*when*added*to* certain*other*drugs,*can*be*the*fatal*last*straw.*** Philip*Seymour*Hoffman*also*died*accidentally*from*a*mixed*drug*intoxica,on,*including* heroin,*cocaine,*benzodiazepines*and*amphetamines.*Despite*all*his*fame*and*fortune*he*and* others*like*him*are*not*informed*about*what*we*in*the*Alliance*know,*that*addic,on*is* treatable*successfully*when*you*address*the*underlying*brain*chemistry*imbalance*that*leads* people*to*suffer*insomnia,*feel*anxious,*crave*relief*from*emo,onal*pain,*and*become* addicted.* Hyla*Cass*MD*is*a*nutri,onRbased*psychiatrist,*author,*speaker,*and*founding*member*of*the* Alliance.*One*recent*book*useful*for*our*membership*is*The*Addicted*Brain*and*How*to*Break* Free*(Be6er*Balance*Books,*2015)* Web:*www.cassmd.com* Email:*[email protected]???* Twi6er:*@hylacassmd* Facebook:*www/facebook.com/hylacassmd* ANTIDOTING OPIOID OVERDOSE CVS*Pharmacy*now*sells*the*opioid*overdose*an,dote*naloxone*without*a*prescrip,on*in*14* states:*Massachuse6s,*Rhode*Island,*Arkansas,*California,*Minnesota,*Mississippi,*Montana,* New*Jersey,*North*Dakota,*Pennsylvania,*South*Carolina,*Tennessee,*Utah*and*Wisconsin.* ANNOUNCEMENTS The?Why?Didn’t?I?Think?of?That?Department? Welcome*to*the*Alliance’s*new*organiza,on*member,*NAMED*Program,*which*provides*drug* treatment*centers*a*balanced*nutri,on*program*that*avoids*opiate*triggers*like*gluten,*milk,* and*processed*sugar.*Specifically*designed*menus,*amino*acid*therapy,*and*stable*alkaline* water*are*used*to*dras,cally*reduce*symptoms*of*acidosis*such*as*fluctua,ng*insulin*levels* and*cravings.**NAMED*Program*also*allows*pa,ents*to*u,lize*their*resources*for*free*a^er* pa,ents*leave*treatment*to*reduce*the*possibility*of*relapse.* The*founder*and*CEO*of*NAMED*is*Keith*Kantor,*a*personable*naturopath*with*a*PhD*in* nutri,onal*science*who*hails*from*the*Bronx*but*lives*now*in*Georgia.*A^er*two*decades*in* the*food*business*as*execu,ve*or*consultant,*tes,fying*before*Congress*to*advocate*for* 24 FALL 2015 Newsletter Volume 3, No 5 wholesome*GMORfree*food,*Kantor*switched*to*neuronutri,on*in*the*field*of*addic,on*and*in* just*three*months*has*recruited*over*four*dozen*drug*treatment*agencies*to*sign*up*for* monthly*menus*and*recipes.**See*www.namedprogram.com?for*more*on*this*innova,ve* company*and*bake*one*of*their*fall*recipes*(pumpkin*apple*pie*muffins!)** CONNECT WITH THE ALLIANCE AAS On FACEBOOK Alliance has a Facebook page where you can in-depth conversations, post articles, and read what other have found to be of interest. You can find our Facebook Group under “Alliance for Addiction Solutions” AAS On TWITTER Follow us at A.A.S. @TransformingAAS ALLIANCE FORUM is a organization newsletter designed to inform and stimulate discussion about pertinent to professional growth of practitioners in the addiction and mental health field, who utilize the powerful, life transforming tools of neuro nutrient therapy and the prorecovery diet. Submissions to the Alliance Forum are Encouraged! All materials need to be sent directory to the editor in an electronic format. We encourage the use of the web links to useful information and pictures or graphics. These materials will be utilized at the discretion of the Editor/Alliance for Addictions Solutions Board. Please email requests to [email protected] BOARD OF DIRECTORS Get in Touch! Pati Reiss, BA, HHC, NRC The Holistic Gourmet and High Vibe Recovery Salt Lake City, Utah 1-801-688-2482 [email protected] Joan Collins, ND, RN, BA, MH, CNHP CEO, Artesian Wellness and Recovery Centers Stuart, Florida Cell: 1-772-260-6161 Office: 1-772-320-1555 [email protected] 25 FALL 2015 Newsletter Volume 3, No 5 Margaret Glenn, EdD, CRC Associate Professor and Coordinator, Rehabilitation Education West Virginia University Morgantown, West Virginia 1-304-293-2276 [email protected] Stan Stokes, MS, LPC, CCDC Fort Pierce, Florida 1-540-947-1262 [email protected] Nataline Cruz, BA. MA, LMT Strawberry Moon Energetics, Holistic Healing and Traditional Medicine Lakewood, Colorado 720-350-2306 [email protected] Joe Eisele, CACIII, NCAC Clinical Director, InnerBalance Health Center Loveland, Colorado 970-689-7575 [email protected] 26