1) Do you or your patients suffer from fatigue?
2) Do you see an increasing frequency of allergies, acne or anxiety?
3) Are you aware that the common complaints of insomnia or depression can have a hormonal basis?

When “Yes” is the answer to any of these questions, saliva testing can assist with the solution.

Hormones rule our lives and imbalances therein change everything, whether we realize it or not! The sex hormones; Progesterone, Estradiol and Testosterone all play a critical role in taking us from puberty through old age. Cortisol and DHEA, produced by the adrenal glands, provide us with a foundation to handle the myriad of challenges (stress) that we face on a daily basis. If everything is in balance – life is great! However, rarely is it so. Both as society and modern living become increasingly complex (multitude of stimuli and stressors) and as we age, imbalances in hormones become commonplace. And the results are we feel unwell, unfit and unhappy!

Conditions associated with the imbalances saliva testing will identify:

Chronic Fatigue Syndrome
• PMS
• Fibromyaligia
• Rheumatoid Arthritis
• Autoimmune disease
• Thyroid Insufficiency
• Infertility
• Inflammatory Bowel Disease
• Insulin Resistance
• PCOS
• Metabolic Syndrome
• Menopause
• Andropause
• Depression
• Anxiety Disorder

Fatigue is a barometer of our overall health. Everyone has had the experience of being tired…tired and worn out. If you get a couple good nights of sleep and you feel better again - problem solved. However, for most people the feeling of tiredness and fatigue never goes away, and a good night’s sleep is a thing of the past. When this happens it is clear that the adrenal glands are no longer functioning optimally. And if this is the case the balance of the sex steroid hormones (Estrogen, Progesteone, Testosterone and DHEA) is also thrown off balance. There are several stages of adrenal fatigue and yet the symptoms for each phase often look the same. Testing Cortisol levels over the course of the day will show you both volume of Cortisol produced and the diurnal pattern. This gives you key information for designing the best treatment plan.

You can see how Total Male, Total Female, Total GHR, Total Arginine, Total Andro-Bal, Total Fem-Bal, Total Tri-Estro, Total Veggie and Total Green, DSF, the Homeopathic Heavy Metals, Fish Oils, Total Chelate etc fit into this picture…

It is also plain to see Jay Mead, MD is a major contributor to today's Puzzle Piece. He is already preparing for our January 28-30, 2011 Homecoming in Phoenix, Arizona, where we will launch a major life and practice changing Seminar. This will give you a new and vast look at you, your family and your patients with FUNCTIONAL DIAGNOSTIC TESTING. We will also have Dr. Dicken Weatherby teaching blood work, along with the Brimhall Wellness team doing an ADVANCED-ADVANCED TECHNIQUE SEMINAR simultaneously.

Keep your eyes on the Puzzle Pieces of what is coming to expand your practice and income. Also you can find out more about the Labrix Comprehensive Hormone Panel at www.labrix.com. Look for their coming newsletters which will contain case studies (with treatment protocols) of menopause, adrenal fatigue and other common hormone imbalances.

At Nutri-West/Brimhall, we have so much happening to assist YOU in HELPING your PATIENTS AND PRACTICE.

John W Brimhall, BA, BS, DC, FIAMA, DIBAK

A doctor recently submitted this case for help:

QUESTION: This is a 20 year old female (5’ 7", 135 lbs) with a history of environmental allergies and a diagnosis of Multiple Sclerosis. The patient already takes many vitamins, which has helped to control her MS symptoms.

She was living in an apartment at college that was found to have black mold. Shortly after she moved in, her symptoms took a turn for the worse as did her allergies. She has moved out and improved but is still dealing with chronic fatigue, headaches, and weakness in her legs. She overheats easily, as is common with many MS patients.

On her latest episode she was given an IV push of corticosteroids to control inflammation and leg pain.

Upon health scan, weak points revealed Total Yeast Redux strengthening mold point, Adreno Plus enhancing adrenal weakness and she was also weak with Total Aluminum, which balanced the toxicity point. All other points tested strong.

Detox footbaths, laser and adjustments were started as was nutrition. What else should we look for or add?

ANSWER: Make sure she is wearing a multipolar magnet night and day. Electromagnetic imbalance and sensitivities are common and severe in many of these types of patients. With a homeopathic metal testing positive, we have found giving the Homeopathic metal and giving Total Chelate (usual dosage is one three times per day) is helpful on almost every patient. As the metals are released, it is important to have adequate fatty acids and to give Total Chelate to help release the metals from the body. Test for Total Flaxseed oil, fish oils (Nutri-West Complete line) and F Complex.

Give the number of drops that tests with the Total Aluminum. Then do A/SERT with the Total Aluminum and the oil that tested as well. I would definitely test further for the liver after you give the Total Aluminum drops.

The usual dosage is one to two tablets up to three times per day of Total Liver D-Tox and also Total Chelate at a similar dosage. I would do a therapy localization challenge of the brain after you give the Total Aluminum or whatever heavy metal shows. We have found one to three drops under the tongue of the Homeopathic will unlock hidden findings and demonstrate, with muscle response testing, which areas of the brain will respond to Cold Laser. Total Brain can be very supportive to the correction after lasering. Eyelights can be very helpful here as well. I have discussed this testing and treating procedure in previous Puzzle Pieces. They are archived for your convenience at www.brimhall.com under Newsletters or call 866-338-4883 to reach our office for assistance or questions.

With any MS patient, I would test for GLUTEN SENSITIVITIES. This can be an undiagnosed condition, and if uncovered, can change the patient’s life tremendously. I have seen many MS patients have gluten or nightshade sensitivities. The patient can order the gluten test on the internet at WWW.ENTEROLAB.COM . Have them order the test, complete the stool sample and the salivary swab. The stool sample will give you a positive if it is a factor and the swab shows the genetic predisposition.

Be sure and support the digestion of these patients with Total Probiotics at two first thing upon arising for 90 days and one per day always. HCL such as Hypo D or Ges-Cid, and Total Enzymes should be considered as well.

We look forward to seeing all of you at a Nutri-West/Brimhall Seminar soon. Many new innovations will be discussed and demonstrated including our New DETOX PROGRAM, TOTAL FIBER, and FUNCTIONAL DIAGNOSTICS SEMINARS ETC.

Also for your convenience, we have just launched our Brimhall Certified Doctor locator at http://brimhall.com/brimhall-certified-doctors.aspx . You may now type in your City or Zip Code and find a Brimhall Certified Doctor for your patients in other areas of the United States. If you need to update your listing, please contact Carey at 866-338-4883 so she can make sure your address and contact information is correctly listed.

John W. Brimhall, BA, BS, DC, FIAMA, DIBAK

A Doctor recently asked if there is anything new being taught at the seminars? He had the Beginning and Advanced DVD’s and wondered if he would gain anything by attending a seminar. The answer is YES and THEN SOME. Please read what’s new.

The Seminar DVD's are really great because you can watch them several to many times. Some say they have watched them as many as 14 times and are still learning because there is so much material. They are a great overview of the basic and advanced work. The seminars use the Beginning and Advanced information as a basis and basics and then goes many miles beyond. You can not substitute the energy and hands on of the Seminar.

We have learned many new techniques, innovations and implementations that are taught at the seminars. One new technique we have discovered and are now teaching is how to determine which heavy metal/s (testing with a Total Metal Homeopathic) is locking up the brain and nervous system and in some cases specific organs. This gives us immediate access to other hidden findings of the areas of the brain that will respond the best to therapy, such as laser, Eyelights, foot baths and Nutri-West nutrition like Total Brain, Total 5 H-HTP and/or Total Chelate. It shows different organ stress and specific needed nutrition to support body function and detoxification. Many toxins are hidden or bound up in organs or fatty tissue. This has been the answer to many patients that lock up, chronically switched and for those with recurring neurological disorganization!

We will demonstrate new laser techniques and for those that are interested, will demonstrate the new Quantum Laser, with its many new innovations in treatment and application. Many of our docs get it because they can do everything with this $3500-$5900 (depending if you want to add a 100mw violet wand) laser, which they otherwise would have to spend $17,000 to almost $30,000 to be able to do, purchasing other brands. Some of the infra red lasers are many thousands more for just that one wave length. Many are getting the Quantum laser because is has red, infra red and violet wavelengths. Some are getting is as a second or third unit and are recommending them to their patients, or other doctor friends, where the doctor makes a $600 to $1000 commission depending on what is ordered. Call Carey at 866-338-4883 for details or go on www.brimhall.com.

We will be introducing our new Functional Diagnostic tests and upcoming seminars that are scheduled to teach them. We have developed a coop relationship that allows our doctors to order and utilize diagnostic tests such as blood and get $7-800 worth of testing for $100-200. We will be unveiling a new system of computerized evaluation and print outs that allows an office to interpret unlimited numbers of blood tests for only $69 per month. Or you will learn how to do it yourself. There is way too much to relate in an e-mail. We will teach unlimited opportunities and profitability in being able to help the patients to a much greater level and expand the doctor’s abilities with this Functional Diagnostic testing and reporting.

Brandy Beeson and Dr. Brian Anderson or Dr. Bruce Carrick will be teaching implementation of all that you learned from the Basic and Advanced tapes, plus the new material presented. Brandy's all time record is to increase a doctor's collections by $10,000 per week or a total monthly increase of $40,000. Dr. Anderson and Dr. Carrick teach how to better implement nutrition into your practice to increase patient results, efficiency and profitability. They also teach and assist in the hands on portion of the seminar.

Carey Shaw will be in Colorado in person and her presentation on power point for other seminars to show you the latest techniques on how to put yourself on the map with your website and how to keep yourself there with internet marketing and ranking. She will teach how to do podcasts, webcasts, how to get on Youtube etc. She will demonstrate companies that have advanced services in this area if you are interested.

There will be hands on workshops that DVD's just can't teach. There are sessions where you can be treated; as well as make sure your techniques are accurate. There will be workshops in adjusting techniques, fascial and scar tissue release, cranial adjusting, allergy testing and treatment, nutrient muscle response testing, stress release and there will be advanced workshops where complicated cases will be treated.

We will have an entire team to meet and exceed the needs of the doctors and assistants to help them implement, to a grater degree, a Total Wellness system in their practice and office.

I look forward to seeing you there. Bring the list of the outcomes you want to achieve and let's check them off together.

We look forward to seeing you soon.

John W. Brimhall, BA, BS, DC, FIAMA, DIBAK and the Wellness Team

PORPHYRIA, what is it and what do you do for it?  This is a question asked by one our practitioners.  They stated their father died of it, there brother was having marked neurological symptoms, with the arms going to sleep every night and severe abdominal pains.  The practitioner thinks that they themselves had a predisposition for the condition with intermitant symptoms.

Porphyria is a term that refers to a group of disorders—the porphyrias—that affect the nervous system or skin, or both. Each type of porphyria is due to the deficiency of one of the enzymes needed to make a substance in the body called heme. Enzymes are proteins that help chemical reactions happen in the body. Making heme involves a series of eight different enzymes, each acting in turn.

Heme is a red pigment composed of iron linked to a chemical called protoporphyrin. Heme has important functions in the body. The largest amounts of heme are in the blood and bone marrow in the form of hemoglobin within red blood cells. Hemoglobin gives blood its red color and carries oxygen from the lungs to all parts of the body. In the liver, heme is a component of proteins that have many functions, including breaking down hormones, drugs, and other chemicals and generating high-energy compounds that keep liver cells alive and functioning normally.

The body makes heme mainly in the bone marrow and the liver. The process of making heme is called the heme biosynthetic pathway. Each step of the process is controlled by one of eight enzymes. If any one of the enzymes is deficient, the process is disrupted. As a result, porphyrin or its precursors—chemicals formed at earlier steps of the process—may build up in body tissues and cause illness.

This next point is one I want to bring home.  Most porphyrias are inherited disorders, meaning they are caused by abnormalities in genes passed from parents to children. Scientists have identified the genes for all eight enzymes in the heme pathway. Some forms of porphyria result from inheriting an abnormal gene from one parent. Other forms are due to inheriting two abnormal genes—one from each parent. The risk that members of an affected family will have the disease or transmit it to their children depends on the type of porphyria.

One type of porphyria—porphyria cutanea tarda—is most often an acquired disorder. It occurs when factors other than genes cause an enzyme deficiency in the liver.

Porphyria and other conditions can be dormant and the manifest by triggers and mediators.  Let’s take a look at a small list of possibilities:

   * drugs such as barbiturates, tranquilizers, birth control pills,
     and sedatives
   * chemicals
   * fasting without adequate nutritional support e.g. Total Greens
   * smoking
   * drinking alcohol, especially heavy drinking
   * infections
   * excess iron in the body
   * emotional and physical stress
   * menstrual hormones
   * exposure to the sun

I meet with a genetic lab Tuesday of this week to see if we can get quick and effective genetic testing here in the US.  I will keep you posted here in the Puzzle Pieces.  For this practitioner it would be wise to have genetic testing for themselves, the whole family and quite likely their children as well.

For any person it seems all Six Steps would be necessary to achieve the greatest degree of wellness. I would start with detoxification with the foot baths and Total Chelate, along with Total Homeopathic heavy metals that show and any other detoxification nutrients that test positive such as Total Liver or Total System Detox etc. If you do not have one of the new Iontophoresis eBI unit please call Dr. Luke Lovick 678-350-5914 for the equipment details and information on how to get the best price for purchasing a unit. It helps to drive in the Nutri-West nutrition. Some of the doctors feel they get a two week head start and much deeper nutritional change using it in conjunction with oral supplementation.

Consider Total Brain, Total Mitochondria, DSF, B complex, and whatever is tested for on the Total Scan. I would wonder if there is not a hidden Gluten Allergy that can cause many different symptoms. Rule out Homocysteine accumulation as well in testing.  This can and should be tested genetically as well.

Digestion, assimilation, and elimination are important in these conditions. Consider Total Enzymes and Total Probiotics.