Moodle at CCNM

This presentation will explain how metabolic syndrome, prediabetes and frank diabetes become key underlying causes for SIBO and other GI disorders. The influences of lipopolysaccharides from overgrown flora, autonomic neuropathy, hepatic insulin resistance, effects of hyperglycemia and the hypothalamic-pituitary-adrenal axis on upper GI transit. SS-L will use example cases to show his approach to diabetes treatment and management.  Pharmaceuticals to be discussed include: Metformin, berberine, allicin, oregano, ginger and neem will be discussed with regards to diabetes, insulin resistance and SIBO.

Although brain injuries have received a great deal of press lately, they are still poorly understood. In this presentation, we explore brain injuries through the lens of Applied Psychophysiology, “the practical understanding of the mind-body interrelationship with regard to therapeutic treatments of various kinds”. (Jonas: Mosby's Dictionary of Complementary and Alternative Medicine. (c) 2005, Elsevier.) Research and clinical experience point to a strong connection between brain injuries and digestive disorders including SIBO. A review of that research is presented to illustrate and expand upon gastrointestinal cases gleaned from the private practice of Kayle Sandberg-Lewis. Steven Sandberg-Lewis presents research on treatment options for traumatic brain injury are in the early stages. Factors to consider in the cascade of dysfunction for these patients include reducing oxidative stress, excitotoxicity, and inflammation (activated microglia) as well as supporting mitochondrial function, membranes, synapses and axons. Several protocols have been studied with multiple nutritional and botanical options. This 30 minute presentation gives an overview of the choices and present the evidence available.

Lymphocytic colitis (LC) and collagenous colitis (CC) are two causes of chronic non-bloody diarrhea, and are coupled under the diagnosis of microscopic colitis (MC). These are inflammatory diseases of the colon which have no gross changes and are identified by histology alone. Dr. Sandberg-Lewis has treated a significant number of cases of MC. In this presentation he defines these conditions, explains their known etiology, risk factors and pathophysiology and focuses in more detail on the most effective standard and Naturopathic treatment and management strategies. Pharmacology is included in this discussion (drug causes of MC, dosages and tapering strategies for prescription medicines and some off label approaches.) Indeterminate colitis is also discussed – that condition that falls between Crohn’s colitis and ulcerative colitis. Even with the eclectic approach of NDs, knowing the definitive diagnosis for inflammatory bowel disease holds importance and allows you to focus your treatment toward more proven options rather than guessing. What do you do when there is no definitive diagnosis? Sandberg-Lewis attempts to demystify this – discussing his approach in these situations.

I will use a case of a 62 yo female with intestinal methanogen overgrowth and chronic unresolved dental infections to illustrate the importance of oral abscess as a source of GI microbiome issues. Her endodontist had told her that there was no remaining infection. I had treated her for over a year with some moderate-good responses to treatment before further investigating the oral issues. The investigation was prompted by a relapse of her symptoms despite significant improvement in breath test results. On referring her for a second dental opinion, 5 areas of infection were found along with a stray bone fragment from a previous dental extraction. After just a few injections of ozone into the infected areas and removal of the bone fragment, she had total normalization of her GI and systemic symptoms.I will demonstrate the use of a relatively simple applied kinesiology technique that I use to investigate the presence of significant dental health issues in my GI patients.

The liver synthesizes and secretes hydrophilic primary bile acids, processed in the small and large bowel by the microbiota. These enter the enterohepatic circulation and join the bile acid pool. These bile acids are hormones that regulate their own synthesis and transport as well as regulating lipid, glucose, lipoprotein and energy metabolism as well as inflammation. Dr. Sandberg-Lewis reviews the biochemistry and physiology of these processes and discuss the use of botanicals, nutrition and prescription medication to aid the activity of this essential “endocrine organ”.