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Beat Burnout 1 Beat Burnout Be bold enough to use your voice, brave enough to listen to your heart, and strong enough to live 2 BEAT BURNOUT Dr Kathleen Wills, I.MD I.MD (Doctorate of Integrative Medicine, USA), Doctor of Natural Medicine, dip Clinical Nutrition, dip Botanical Medicine, dip Laboratory and Blood Analysis, BSc Medical Anthropology DISCLAIMER The contents of this book are for informational purposes only and are intended to support readers in identifying conditions and symptoms they may be experiencing. This book is not intended to substitute for the professional healthcare advice of your qualified medical doctor or other health practitioner. Always consult a properly qualified healthcare practitioner or medical doctor. Both the author and publisher do not accept any legal liability or responsibility for medical illness resulting from the failure to seek qualified medical advice or any actions taken as a result of reading this book or recommending to others. Beat Burnout is factually correct, except that names, locales, and individual traits have been altered to preserve coherence while protecting privacy. Copyright © Dr Kathleen Wills, 2015 ISBN 978-0-473-32243-4 Published in 2015 by Wild Wolf Press 11A Garnet Road, Westmere, Auckland 1022 +64 (09) 378-9969 All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Front cover photo: Dr Kathleen Wills Cover Design: Nicola Mclay Internals and Print by A catalogue record for this book is available from the National Library of New Zealand. This book is dedicated to all of those who live their passion and need a bit of help along the way. Keep living. Keep dreaming. Beat Burnout CONTENTS Foreword 9 Introduction: Constantly tired, not feeling well, and told you’re healthy? What’s going on? 11 Quick Self-Check Quiz 17 1. Making Yourself a Priority while Living a Hectic Lifestyle 21 2. Balancing It All and Ensuring Good Health Is a Component Achieving balance and putting your health at the centre 27 28 3. The Steps to Embrace a Truly Healthy Lifestyle 33 4. Eating Healthily and Managing Proper Nutrition Even On the Go What to order out Gluten free and dairy free foods How to eat well on the road Quick meals and prep at home that pays off Keeping a food diary 43 44 49 57 60 63 5. Staying Fit on the Road 67 Make workouts a priority and hold yourself accountable to them until they are habit 68 Tips for working out no matter where you are 69 6. Boosting Your Moods and Energy Naturally with the Right Supplements Nutritional supplements can help you to pick up where other things leave off Natural ways to enhance moods and add energy to your life Preventing adrenal fatigue and how natural medicine can help Healing herbs for adrenal fatigue 7. The Need For a Good Night of Sleep Managing jet lag (hydration tips, nutritional additions, exercise) Effectively beating insomnia (eating habits and supplements) 6 75 76 77 86 95 101 103 106 Beat Burnout 8. Handling Extensive Travel and Still Remaining Healthy Proactively manage your health on the road Emergency travel kit 115 116 124 9. Boosting Your Immune System Naturally 127 You can contribute to a stronger and more effective immune system every day 128 10. Speeding Up a Sluggish Thyroid 133 11. Hormonal Decline and Use of Bioidentical Hormone Therapies Understanding what is happening to your hormones Harmful substances that can hurt you now and later on too Healthy grooming 143 144 151 155 12. Mind and Spirit Exercises Everyone must find what nurtures their mental and emotional health Breathing techniques and visualisation Finding your true happy place in your mind helps tremendously 159 161 162 164 13. Being Your Best Personally and Professionally This all starts from the inside out 167 167 Conclusion: Getting This All to Work Well for You 170 References 172 Acknowledgements 174 About the Author Dr Kathleen Wills 176 7 FOREWORD I have known Dr Kathleen Wills for four years both professionally and personally and I hope that I have played a small part in helping start her training. Her rapid success is due to her excellent powers of communication and her uncanny ability to rapidly accumulate and utilise knowledge. Dr Kathleen has written a book that will help every one of us trying to live and stay healthy in the stressful and toxic world of the 21st century. I have been practising medicine for 45 years and have always been struck by the high incidence of fatigue, anxiety, and insomnia among my patients. We are all trying to combine earning a living, being successful in our occupations, paying our mortgages, raising our children and maintaining healthy relationships, all of which can lead to prolonged stress. This constant stress generates a “fear and flight reaction” which can be prolonged. If you think of the analogy of keeping your foot on the accelerator of a car, the engine will eventually be unable to stand the strain and will overheat and seize. This is what happens with our adrenal glands and the hormones cortisol and adrenaline that they produce. Once the constant high levels of cortisol are no longer sustainable by the adrenal glands, adrenal fatigue or burnout occurs, leading to fatigue, anxiety and insomnia. The consequences and treatment of this condition are ably and comprehensively covered in Dr Kathleen’s excellent, wellresearched book. You need go no further for help in relieving your symptoms than to read this book. Dr Kathleen emphasises 9 Beat Burnout clearly how you can help relieve your symptoms during your busy day with healthy stress-busting foods, exercise and relaxation techniques and well-chosen supplements. Burnout can be a complex condition affecting sleep, nutrition and hormones. Dr Kathleen concisely discusses all of these factors and explains how they impact on fatigue and gives the reader lots of practical advice on prevention, testing and treatment. Her book is full of well-chosen quotes and images which add to the book’s readability and inspirational appeal. I am delighted to recommend Dr Kathleen’s first book which will be very valuable to anyone who reads it. Dr Bernard Willis, MD (University of Leeds, United Kingdom) Optimal Wellness Centre, Epsom, Auckland, New Zealand. 10 INTRODUCTION Constantly tired, not feeling well, and told you’re healthy? What’s going on? “I’ve been to seven doctors and many specialists. I know something is wrong but they all tell me I’m normal. What’s wrong with me?” “I’ve been pretty healthy all my life, but just over the past few years, I don’t feel like myself. I can’t ever seem to recover from this constant tiredness that I feel. But all my test results come back normal. Can you help me?” I hear this from athletes, academics, corporate executives, entrepreneurs, artists, child-minders, lawyers, and even teens and children. They come from all walks of life. And they all have something in common. They come to my door, wanting answers. Why are they so tired, when they have been to their doctor, who runs the standard blood tests and tells them they are normal? From a conventional medical point of view, these people usually are normal: significant or sinister disease is absent. However, in the standard medical consultation time of 10–20 minutes, it’s not usually possible to discuss non-medication related issues, such as nutrition and lifestyle. Subtle medical symptoms are sometimes missed because of time limitations and fear of sharing with our doctors things we may be ashamed of or just think we need to “bear with”. 11 Beat Burnout John was a 48-year-old, good looking, successful CEO of a large international corporation. As a younger man he was a track star at Stanford University, ate anything he wanted, and seemed to be in perfect health. As he worked his way up the corporate ladder, he experienced continual stress, and finally as CEO, travelling around the world, he seldom exercised, ate fatty foods at numerous restaurants, and gained over forty pounds. His doctor advised him to lose weight and lighten his schedule, but the demands were just too great. John refused to change his lifestyle, and four years after becoming CEO, his career ended. He had a series of small hidden heart attacks caused by partially blocked arteries, and finally died at the age of 52. If you passed these people on the street, you would never know how they feel. But they know. They feel a chronic sense of exhaustion, a lack of resilience, a loss of vibrant health. They try to ignore the feeling and just keep going. But the feeling drags at them and eventually affects their performance, activities and relationships. Often these people are passionate busy people in business and industry; people who push themselves to the max emotionally, physically and mentally. We need to stop the nonsense of pushing ourselves to the max and feeling completely physically and emotionally drained. This is not okay, and not beneficial for our long term health and relationships with others. When did doing just the acceptable level at times not become enough? Often the stories come from people who hold ordinary jobs, tend to their families, and are the unsuspecting victims of an 12 Beat Burnout Mary was a 29-year-old housewife and mother of two healthy children. She was happily married, enjoying her life as a wife and mother, and part time personal assistant. During her second delivery, she lost a lot of blood, and afterwards never quite felt the same. She was frequently tired, in spite of her efforts to eat well, walk daily, and rest. Her medical doctor said she was fine, that she tested normally and that she should continue to rest. But Mary was the hidden victim of underactive thyroid due to hormonal changes after giving birth and iodine mineral deficiency. What she didn’t realise was that even if she was eating healthily, her home country of New Zealand lacked iodine in the soil so her foods didn’t naturally contain enough iodine. She used a gourmet salt which didn’t contain adequate levels of iodine. Unaware of what else to do, she restricted her lifestyle for months and years. excessively busy lifestyle, unhealthy diet, a lack of exercise, or a hidden deficiency in their physical makeup that was undiscovered by conventional medicine. I find it sad when well-meaning people work with all their hearts and souls, to provide the best they can for themselves and their families, and amidst all of the pressure to achieve, they suffer from physical and mental burnout. This sometimes progresses to strokes, heart attacks and cancer later on. That is often when a person declares they need to make a change for the better, by cutting back at work, getting help at home and making dietary and exercise changes. But why should it take a crisis to get started? This is not an indictment of conventional western medicine. I have the greatest respect for the training and interventions 13 Beat Burnout of western medical doctors. I advise all my patients to have a thorough medical examination by a qualified physician to diagnose and rule out any disease or pre-disease condition. But frequently this is not enough. My patients often have conditions that arise from nutritional or lifestyle deficiencies that are not part of a typical physical examination. In this book I’ll take you on another kind of journey, a journey into the world of integrative medicine that combines the best of evidence-based natural medicine with conventional western medicine to help you discover and gradually resolve those conditions that seem mysterious and continue to drag you down. Symptoms Before we begin, let’s check out some chronic (that is, long term) symptoms: A struggle to get out of bed in the morning A struggle to get to sleep Restless sleep Brain cloud until you have coffee or energy drinks Weight gain around your middle High cholesterol Low moods or anxious feelings Irritability Excessively dry or oily skin or rashes Increase in allergies Digestion issues (unpredictable bowel movements, wind and bloating) Frequently getting sick (picking up everything going around) Short term memory decline Frequent headaches Muscle aches 14 Beat Burnout Dizziness Red or irritated eyes Daytime sleepiness Frequently feeling overwhelmed by all your demands If you or someone you love has experienced any of the above symptoms, you owe it to yourself to read on and find out why this happens and what to do about it. There are reasons for these things that are scientifically based, but little known and understood in our current medical environment. My passion is to use all the scientific and other healing information available to support people’s health concerns, validate those concerns (they’re not crazy to be constantly feeling this way), consult and refer to other doctors when necessary, then use all my integrative and natural medical knowledge and skill to help them set up a protocol to heal themselves. Further, I want to get the message out, far and wide, that there are effective, evidencebased complementary health options available to maintain and optimise total mind and body wellness. With this knowledge will come self-empowerment. Some suggestions you will be able to employ all on your own. Some you may want to consider and then consult with an integrative medicine expert beforehand to make sure you have a correct diagnosis and understand the treatment. Hopefully, in either case, you will be well on your way to better health. The book is divided into chapters about various symptoms and health concerns. For those who are really short on time, there is a handy quick quiz at the beginning of the book to help you focus on particular areas of concern and a Getting Started section at the end of each chapter to help you implement changes, one step at a time. The conventional and holistic medical world can work as one. I am going to show you what healthy living really means, 15 Beat Burnout and more importantly how it can benefit you to maximise your productivity and satisfaction with life. It’s time to make your life so much better, starting from the inside out. Let’s not wait until we are debilitated and diseased to make changes. When you are at your very best, then all the rest seems to flow. So without further delay let’s get started on getting healthier and happier, and making the most out of life! Here’s to your future health, 16 Beat Burnout QUICK SELF-CHECK QUIZ 1. Do you hit the snooze button repeatedly? Are you struggling to wake up in the morning? See Chapters 6 and 7: Preventing Adrenal Fatigue and How Natural Medicine Can Help, and The Need for a Good Night of Sleep. If time, also look at Speeding up a Sluggish Thyroid. 2. Have you noticed a mid-tummy weight gain that seems to have crept up out of nowhere? See Chapters 6 and 11: Preventing Adrenal Fatigue and How Natural Medicine Can Help, and Decline and Use of Bioidentical Hormone Therapies. 3. Do you crave sweets and coffee and rely on them for an energy boost during busy times? See Chapter 4: Eating Healthily and Managing Proper Nutrition Even on the Go. 4. Do you struggle with fitting exercise into your busy daily routine? See Chapters 5 and 8: Staying Fit on the Road and Handling Extensive Travel and Still Remaining Healthy. 5. Do you tend to ‘pick up’ any and every flu and cold going around without fail? Would you like to finally kick that cough for good? See Chapter 9: Boosting Your Immune System Naturally. 6. Does travelling mean stomach chaos and exhaustion? What should I always bring along to prevent a health meltdown? See Chapter 8: Handling Extensive Travel and Still Remaining Healthy. 7. Has your husband developed the dreaded ‘man boobs’ and both/either of you lack inspiration in the bedroom? See Chapter 11: Hormonal Decline and Use of Bioidentical Hormone Therapies. 17 Beat Burnout 8. Do you feel like you are running from one task to the next and surviving on your smartphone? Do emails rule your day? See Chapter 12: Mind and Spirit Exercises to learn about visualisation and breathing techniques to feel back in control. 9. Feeling moody, irritable, and teary more often but don’t want to resort to prescription antidepressant drugs? See Chapters 6 and 11: Boosting Your Moods and Energy Naturally With the Right Supplements and Hormone Decline and Use of Bioidentical Hormone Therapies. 10. Why should I care about my health beyond what my GP suggests? See Introduction and Chapter 13: Being Your Best Personally and Professionally. BONUS QUESTION: Are you exhausted but all of your standard blood test results are normal? What’s going on? Read the Introduction to find out HOW TO BEAT BURNOUT! 18 CONCLUSION—GETTING THIS ALL TO WORK WELL FOR YOU! Being a busy person means that a lot of people want a lot of different things from you. There are a lot of demands and a lot to manage within your daily life, and the truth is that it can be quite stressful. When you can learn to put aside some of this stress and instead focus on making yourself the very best in every sense of the word, then it all comes together. This may not happen overnight, but you are going to be amazed when you put your best effort into this. Don’t be surprised if other people notice a change in you without telling them that you have made changes. Also don’t be surprised if you attract new people into your life with similar values and mind-sets the healthier you become. Humans are naturally drawn to healthy, happy, balanced fellow beings! I have guided you through tips and ideas of how to be in the best picture of health in every common area of your role and day. The stressful situations may not go away, but you will learn how to manage them properly. The demands may not lessen, but you have learned how to create a healthy lifestyle at the core. You have seen just how much each element of this lifestyle can benefit you, and now it’s time for you to make the change. Let this all absorb in and then think about the changes that you can make right away. Turning to the right foods, getting into a regular exercise routine, and even working through common issues for you such as jet lag can all be beneficial. There are so many ways that you can take care of yourself, and when you make that choice you will see that you are better not just in a personal 170 Beat Burnout way but also professionally in your role. No matter what you have going on as a busy person, you can always benefit from the power of proper nutrition and natural therapies. I have shown you what it means to be your best, and now it’s time to make the change. Taking a little time out every day to work on protecting your best health will be well worth the investment. Making yourself, your health, and your well-being a top priority will always make you better in your personal life and will show through for you as a professional too. Remember, it’s not okay to give it your all and sacrifice your health for the sake of a promotion or other business success or even for your family. The most important thing you can do for your family is to be around as long as possible, disease-free and feeling happy and calm. Think of each person in your life that you care about and those that aren’t even that close to you but somehow you influence them. Your behaviour and actions affect them. You will be setting an example of how to eat well, be active and live a balanced lifestyle. This is the ultimate healthy state of influence. The ultimate success. So if you aren’t feeling “normal”, it’s not okay to continue on like this. Take action. Make that your greatest achievement! Best of luck in your journey to being your best, and remember that even a busy high achiever needs to take time out to properly care for their health and well-being! Live Long and Well, 171 Beat Burnout REFERENCES http://rippehealth.com/ http://www.stress.org/workplace-stress/ American Psychological Association, American Institute of Stress, NY. Top Causes of Stress in the U.S. http://docs.com/ VJCE#! Rubio-Tapia A, Kyle RA, Kaplan EL, Johnson DR, Page W, Erdtmann F, Brantner TL, Kim WR, Phelps TK, Lahr BD, Zinsmeister AR, Melton LJ 3rd, Murray JA. Increased prevalence and mortality in undiagnosed celiac disease. Gastroenterology. 2009 Jul; 137(1):88–93 Study of the American workforce conducted by the Families and Work Institute Institute of Medicine. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. Washington, DC: The National Academies Press; 2006 The Science of Positive Thinking: How Positive Thoughts Build Your Skills, Boost Your Health, and Improve Your Work. Huffington Post. http://www.huffingtonpost.com/james-clear/ positive-thinking_b_3512202.html Nutrition and the Health of Young People. Centers for Disease Control and Prevention. http://www.cdc.gov/healthyyouth/ nutrition/facts.htm JAMA. 2009 Sep 16;302(11):1171–8. doi: 10.1001/jama.2009.1320. Small-intestinal histopathology and mortality risk in celiac disease. Ludvigsson JF1, Montgomery SM, Ekbom A, Brandt L, Granath F 172 Beat Burnout N Engl J Med 2002; 346:180–188. January 17, 2002. DOI: 10.1056/ NEJMra010852. Celiac Sprue. Richard J. Farrell, M.D., and Ciarán P. Kelly, M.D. http://portal.ctrl.ucla.edu/cnsi/news/rss/news_103246.xml “Power Nap” Prevents Burnout; Morning Sleep Perfects a Skill. http:// www.nimh.nih.gov/news/science-news/2002/power-nap-preventsburnout-morning-sleep-perfects-a-skill.shtml http://www.dosomething.org/actnow/tipsandtools/11-facts-abouthealthy-living# http://healthysleep.med.harvard.edu/healthy/matters/consequences http://www.denvernaturopathic.com/news/altitude.html http://drfeder.com/?page=articles&action=viewArticle&articleID=290 http://www.healthline.com/natstandardcontent/berberine http://www.vagabondish.com/travel-medicine-5-essential-drugs/ 173 Beat Burnout ACKNOWLEDGEMENTS To my patients, without your courage to share your stories, I wouldn’t have been inspired to write this book. I am profoundly grateful. To my mentor—Dr Bernard Willis, the wise old owl. The baby has taken flight thanks to you. May she grow to have your wisdom. To my family—Guy, Germaine, Jim, Lisa and extended family, I wish to thank you for your tireless support, guidance, brilliant insights and keen editing skills. Without your lightbulb moments, the final print of this book wouldn’t have surfaced anytime soon. You are all so uniquely talented and loved. To my friends—Lydie Faure, Yasmine Unluturk, and you know who you all are…thank you for believing in me, standing by my side, becoming cheerleaders and adding a laugh or two. Thank you for your understanding regarding the many social invitations I had to turn down to finish the book and disappear in my writing hole! To my personal assistant, Julea—I couldn’t have managed to find the time to finish this without your amazing organisational skills and always positive outlook on life. To my PR agent—Niki Schuck, and Rebecca and Lynda, without your communications expertise and amazing networks, my message would be only available to the limited few. You are incredible. To Malcolm and Melanie Rands and the ecostore team— who provide healthy products and a brilliant environmental philosophy that goes hand in hand with integrative medicine. To my fur-children—Simba, Una and Mishka. Thank you for keeping me grounded. To the universe—thank you for providing me with these gifts of knowledge to share and hopefully heal others. 174 Beat Burnout 175 Beat Burnout ABOUT THE AUTHOR DR KATHLEEN WILLS Dr Kathleen Wills currently practises Integrative and Natural Medicine in Westmere, Auckland in which she consults with people from all walks of life, from the very young to the elderly, from housemakers to Hollywood stars. She speaks regularly for corporate and educational organisations and Wellness Retreats New Zealand. She’s been featured on TVNZ’s Breakfast Show, in the New Zealand Herald, Woman’s Day, Next and New Idea and Oh! Baby magazines. She has also been highlighted as a natural medicine expert by Hardy’s and an official ambassador for ecostore. You may have heard her on Newstalk ZB, Coast and the Mix FM radio stations. She is a health blogger online for MiNDFOOD magazine. Dr Kathleen was featured in NZ Herald Viva (September 2014) as one of the top ten health practitioners in the country. She holds a US doctorate degree in Integrative Medicine (I.MD) and Natural Medicine, graduating first in her class. This qualification incorporates the insights of both conventional and evidence-based nutritional medicine to support the total wellness of a person. This concept is recognised by the top seven hospitals in the USA such as Harvard, Duke and Johns Hopkins. Nearly 40 per cent of Americans use non-mainstream approaches along with conventional treatments. This innovative health approach 176 Beat Burnout is also up and coming in Australasia. She also holds a Bachelor’s degree specialising in Medical Anthropology from San Diego State University in which she conducted laboratory studies on skeletal remains looking at signs of nutritional deficiencies and disease in both humans and non-human primates. She minored in psychology and Japanese. Dr Kathleen is currently a leader in the Australasian Integrative Medicine Association (AIMA) and a member of academic honour societies Phi Beta Kappa and Golden Key along with memberships in numerous medical bodies. Previously, she worked on a research project in Maori Health at The University of Auckland Medical School and diplomacy in international relations. She’s also a medical advisor for the Live More Awesome Foundation to reduce the stigma of depression. Dr Kathleen has been active in the community for eight years as a volunteer certified SPCA/St John’s Animal Assisted Therapist with her Siberian husky dog, Una, comforting children in hospital. She has recently been awarded a New Zealand Queen’s Diamond Jubilee Medal for her dedication to the community and animal welfare. She also supports a Balinese charity for orphaned babies, Yayasan Sayangi Bali. 177 Beat Burnout Dr Kathleen Wills is Available Worldwide for: Expert health and nutrition advice Guest speaker Guest appearances Corporate wellness courses Motivational health coaching Product endorsements Contact Dr Kathleen’s PR agent Niki Schuck for enquiries: Phone: +64 (0)21 911 332 Email: [email protected] Twitter http://twitter.com/NikiSSchuck Website: www.nikischuckpr.com Like Dr Kathleen on her Facebook page: Dr Kathleen Wills Follow Dr Kathleen on Twitter: @DrKathleenWills Keep up to date on her newsletters, the latest research, the Dr Wills product range and other recommended supplements: www.drkathleenwills.com For consultations with Dr Kathleen Wills in person or via Skype or telephone, email: [email protected] or phone: +64 9 378 9969 (New Zealand) 178 Beat Burnout This book is meant for those who are passionate about life and what they do with it: they push themselves to the max but don’t know why they feel tired or unwell even when their annual health exam and blood test results come back normal… “Dr Kathleen Wills has written a book that will help every one of us trying to live and stay healthy in the stressful and toxic world of the 21st century. Burnout can be a complex condition impacting on sleep, nutrition, hormones and environmental toxins. Dr Kathleen concisely discusses all of these factors and explains how they affect fatigue and gives the reader lots of practical advice on prevention, testing and treatment.” DR BERNARD WILLIS, MD, UNIVERSITY OF LEEDS, FORMER ROYAL AIR FORCE DOCTOR www.drkathleenwills.com Wild Wolf Press 179 Beat Burnout BE BOLD ENOUGH TO USE YOUR VOICE, BRAVE ENOUGH TO LISTEN TO YOUR HEART, AND STRONG ENOUGH TO LIVE 181 Beat Burnout This book is meant for those who are passionate about life and what they do with it: they push themselves to the max but don’t know why they feel tired or unwell even when their annual health exam and blood test results come back normal. So what is being missed?... After several years of consulting with patients and communicating with the public through lectures and workshops, Dr Kathleen Wills shares some illuminating stories from her contacts with hundreds of people in her practice. A majority of these have common health concerns that aren’t always addressed comprehensively by the conventional medicine model. She reveals what has worked for them to recover and feel happier and be more successful than ever. By revealing tips for how to lead a busy, productive life while also keeping physically and mentally healthy, Dr Wills provides all of the essential tools to get your health and priorities on track. An introductory self-check quiz will help the reader select their relevant issues and seek targeted advice quickly throughout the book. Dr Wills’ approach of making small changes, a bit at a time, will help the reader achieve good health and greater balance. Anyone who wants to make an effort to live optimally for their own benefit and for those they care for will find this to be a practical, easy to follow and inspirational holistic health guide. “Dr Kathleen Wills has written a book that will help every one of us trying to live and stay healthy in the stressful and toxic world of the 21st century. Burnout can be a complex condition impacting on sleep, nutrition, hormones and environmental toxins. Dr Kathleen concisely discusses all of these factors and explains how they affect fatigue and gives the reader lots of practical advice on prevention, testing and treatment.” DR BERNARD WILLIS, MD, UNIVERSITY OF LEEDS, FORMER ROYAL AIR FORCE DOCTOR www.drkathleenwills.com Wild Wolf Publishing 182