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Table of Contents | 2012 | February

February 2012 | Geriatrics

Commonly Presenting Illnesses in the Elderly......................>> cover Thomas A. Kruzel, ND Older Adults Present Opportunity....................................>> bottom of cover Melissa Coats, ND A Geriatric Perspective on Type 2...

Recalcitrant Bilateral Osteoarthritis

Case Study of a 63-Year-Old Man Bryan Rade, ND HH, a 63-year-old man, presented to the office with a 2-year history of worsening bilateral, radiographically confirmed, osteoarthritis (OA) of the thumbs. The pain had a rapid onset over a 6-month period to an intensity...

Commonly Presenting Illnesses in the Elderly

Immobility and Disease Thomas A. Kruzel, ND As the population ages, the demand for medical services will increase as the elderly population in general experiences greater morbidity associated with the aging process. Consider that with the recent economic crises and...

Protecting Our Patients from Elder Abuse

Looking out for our Patients’ Health Helen C. Healy, ND Looking out for our patients’ health and welfare comes naturally to those of us who have taken the Naturopathic Oath at graduation. We are fortunate to have more time to spend with our patients than most other...

As Health Goes, So Goes Sleep

Sleeping Disorders Among the Elderly Catherine Darley, ND It is commonly thought that as people age their sleep worsens. But is this true? Does it have to be? The answer is both yes and no. Some research has found that healthy elderly people sleep as well as healthy...

Older Adults Present Opportunity

Vis Medicatrix Naturae Melissa Coats, ND Older adults, defined typically as those who are 65 years or older, are one of the fastest growing populations in the United States today. The US Census Bureau states: In this century, the rate of growth of the elderly...

Effects of Falls in the Elderly

Protocols to prevent devastating falls Holly Lucille, ND, RN As an ND, one of the principles guiding my scope of practice and thought process is that of “Prevention is the cure.” It is somewhat of a backdrop principle, always present, very subtle, yet difficult to...

Melatonin Chronosynergy, Women, and Aging

The Expert Report Interview with Paula Witt-Enderby, PhD and Judith Balk, MPH, MD Mark Swanson, ND The concept of achieving therapeutic “synergy” is fundamental to the understanding of healing in a functional-naturopathic medicine practice. I have often postulated...

Student Debt: Another Monster Under the Bed

David Schleich, PhD Back in mid-September, U.S. Department of Health & Human Services (HHS) Secretary Kathleen Sebelius announced that $33 million in American Recovery and Reinvestment Act of 2009 (ARRA) funds would be available to train “health professionals.”...

A Geriatric Perspective on Type 2 Diabetes

Lucy Rojo, ND; Michael Almaraz, CCHT, NLP, RP In the United States, there are 23.6 million people with diabetes mellitus. Of 17.9 million being diagnosed, 90% have type 2 diabetes mellitus (T2DM). The epidemic of T2DM comes with significant burdens on healthcare and...

A Wrong Can Make A Right

Joseph Kellerstein, DC, ND Rose is a frequent visitor to the office. For some years, she has come in with her kids. Rose is very health conscious and has developed a strong religious foundation to her life. I think her use of spirituality to outreach into the...

Botanical Pearls for Geriatric Patients

Robin DiPasquale, ND, RH (AHG) I asked several nurse practitioner colleagues who work solely with the geriatric population about what the top health concerns were for their patients. They cited bowel issues (constipation and diarrhea), urinary incontinence and urinary...

Archived Case Studies and Featured Content

Childhood Trauma and Mental Health: A Systems Biology Approach to Treatment-Resistant Anxiety and OCD

Childhood Trauma and Mental Health: A Systems Biology Approach to Treatment-Resistant Anxiety and OCD

Childhood adversity may leave lasting physiological effects that extend beyond psychological symptoms. Through a case of a 19-year-old woman with persistent anxiety, OCD, emotional eating, and hyperandrogenic metabolic dysfunction, this article examines how neuroendocrine, metabolic, immune, nutritional, and gut-brain pathways may interact—and how a systems biology approach can complement conventional psychiatric care.

Observation Over Interpretation: A Homeopathic Case of Phosphorus in an 8-Month-Old

Observation Over Interpretation: A Homeopathic Case of Phosphorus in an 8-Month-Old

When an 8-month-old developed sudden distress whenever his mother left the room, the choice between Phosphorus and Pulsatilla initially appeared uncertain. Through direct observation, a previously overlooked response to physical touch became the defining symptom guiding a Phosphorus prescription, followed by reported improvement within one week.

Listening Beyond Language: A Narrative Medicine Case Study for Neurodivergent Children

Listening Beyond Language: A Narrative Medicine Case Study for Neurodivergent Children

For neurodivergent children, communication extends beyond spoken language. Through a composite pediatric case, this article explores how narrative medicine, creative expression, sensory-aware facilitation, and caregiver co-regulation can support emotional communication, self-advocacy, and connection in children with autism, ADHD, and related developmental differences.

First, Do No Harm: Managing Pediatric Klebsiella Dysbiosis Without Delaying Diagnosis

First, Do No Harm: Managing Pediatric Klebsiella Dysbiosis Without Delaying Diagnosis

A young child with recurrent abdominal pain, bloating, constipation, sleep disturbances, and behavioral changes experienced repeated symptom improvement during integrative treatment targeting intestinal dysbiosis. This case examines the challenges of managing suspected Klebsiella-associated symptoms while navigating inconsistent treatment across two households, parental hesitation toward additional testing, and the possibility of an underlying inflammatory bowel disorder.

Medication-Induced Kidney Injury: Mechanisms, Risk Factors, and Prevention

Medications may account for an estimated 20% of community- and hospital-acquired acute kidney injury, with risk amplified by CKD, older age, chronic disease, dehydration, and polypharmacy. This review examines the major mechanisms of drug-induced nephrotoxicity and practical strategies for medication review, hydration, renal monitoring, and prevention.

Low Testosterone and Cardiovascular Disease: Risk Marker, Mediator, or Both?

Low testosterone is consistently associated with adverse cardiovascular outcomes, but whether it is a cause of vascular disease or a marker of underlying metabolic and inflammatory dysfunction remains unresolved. This review examines the epidemiology, vascular mechanisms, hypertension and atherosclerosis data, TRAVERSE findings, and the cardiovascular implications of TRT-induced erythrocytosis.

Cardiovascular Risk Assessment in Men: A Naturopathic Cardiology Perspective

Cardiovascular risk extends beyond LDL cholesterol and the standard lipid panel. This review explores how plaque biology, inflammation, oxidation, metabolic and hormonal health, advanced biomarkers, CGM, and cardiovascular imaging can complement established therapies to create a more individualized approach to cardiovascular risk assessment in men.

Beyond the Tumor: A Whole-Person Approach to Prostate Cancer Active Surveillance

Active surveillance does not have to mean simply “watching and waiting.” This case follows a man with localized intermediate-risk prostate cancer over approximately 20 months, integrating conventional oncologic monitoring with serial assessment and individualized management of metabolic health, inflammation, gastrointestinal dysbiosis, environmental exposures, nutrition, and lifestyle.

Beyond the Tumor: A Whole-Person Approach to Prostate Cancer Active Surveillance

Active surveillance does not have to mean simply “watching and waiting.” This case follows a man with localized intermediate-risk prostate cancer over approximately 20 months, integrating conventional oncologic monitoring with serial assessment and individualized management of metabolic health, inflammation, gastrointestinal dysbiosis, environmental exposures, nutrition, and lifestyle.

Advanced Inflammatory Breast Cancer: Complete Response with Naturopathic and Immuno-Oncology Treatment

This case follows a 44-year-old woman with inflammatory breast cancer that progressed to osseous metastatic disease and was managed through a multimodal naturopathic, immune-directed, and conventional oncology strategy. Serial imaging and molecular surveillance ultimately demonstrated complete metabolic response, zero circulating tumor cells, and repeatedly undetectable ctDNA, highlighting the potential value of adaptive, interdisciplinary integrative oncology care.

Ketogenic Diet in Metastatic Breast Cancer: An Integrative Oncology Case Study

Can a ketogenic diet play a supportive role during treatment for advanced breast cancer? This case follows a 34-year-old woman with metastatic HER2-positive breast cancer who adopted a ketogenic diet and broader lifestyle changes alongside chemotherapy and HER2-targeted therapy, while examining the evolving evidence, potential metabolic benefits, and limitations of ketogenic diets in cancer care.

Botanical Immunomodulation for Pancreatic Neoplasia: An Integrative Medicine Case Report

Can botanical immunomodulation play a supportive role in patients with pancreatic neoplasia? This case report describes the clinical course of a patient who declined surgery, chemotherapy, and radiation and pursued a physician-directed botanical regimen alongside nutrition, exercise, meditation, and other lifestyle measures, with subsequent imaging reportedly demonstrating stabilization followed by reduction in lesion size.

Custom Publishing

Quantum Energy Effects on Cell Recovery Rates

Quantum Energy Effects on Cell Recovery Rates

Robert Sheaff, PhD, and Ian Mitchell This study investigated whether quantum field exposure generated by Leela Quantum Bloc Technology influences cell recovery rates in human cell lines. A series of double-blind experiments were conducted using Human Dermal...

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