Contact Information David B. Wood, ND trinityclinic 425.778.LORD (5673)

1. Contact Information David B. Wood, ND www.trinityclinic.com 425.778.LORD (5673) David B. Wood, ND Trinity Family Health Clinic, PS 19031 – 33rd Ave. W. Ste. 301 Lynnwood, WA 98036

2. Why am I so tired? • Doc, just give me a pill so I’m not so tired all the time! • Or, Doc don’t you have a pill for this? • First the doctor must determine the cause of the fatigue!

3. Some possible physiologic causes of FATIGUE • Anemia • Dysglycemia (low or high blood sugar) • Thyroid hormone imbalance (low or high) • Adrenal Gland insufficiency or excess • Chronic food or airborne allergies • Chronic infections (esp. viral) • pH imbalance (usually too acid) • Lack of exercise or excessive exercise

4. Anemia Borderline states often missed and go untreated! • Iron deficient – microcytic hypochromic • Best: ferrous glycinate • Beets, Black Strap Molasses, beef • B12/Folate deficient – macrocytic hypochromic • Best: bioactive B12 and folate • Methylcobalamin/Folinic acid • Beef, liver, greens

5. Dysglycemia • Balance Blood Sugar Levels: • Low glycemic diet high in fiber, protein and low in sugar • Exercise • Nutrients such as: • Chromium (polynicotinate) • Vanadium (organic, aspartate) • B Complex (Bioactive phosphorylated) • Biotin (8,000 to 16,000 mcg per day) • Botanicals such as: • Gymnema, Fenugreek, Cinnamon

6. Thyroid Hormone Imbalance • Serum laboratory evaluation • TSH, Free T3, Free T4, possible evaluation for autoimmune thyroid dz • On waking Basal Body Temperatures OR oral temperatures 3x per day • (97.6 – 98.2 BBT) • (98.3 – 98.9 OT) • Subjective/Objective Sx: fatigue, dry skin, constipation, cold extremities, out 1/3 eyebrow thinning, pretibial edema, dry coarse hair or hair loss/thinning, depression, slow or absent reflexes. • TX: Rx natural thyroid hormone (T3 + T4) • Nutritional Support (iodine, L-Tyrosine, kelp)

7. Adrenal Gland • Over or Underactive? • Check Adrenal hormones – • Cortisol and DHEA • Serum or even better – Salivary hormones (4 samples – to map circadian rhythm) Cause of Adrenal imbalance – • Stress • (Dysglycemia, pain, over work, worry, anxiety, poor coping skills, nutrient deficiencies, infection, poor sleep quality, etc.)

8. Adrenal Gland • Low Glycemic, high fiber, high protein diet high in fruits/vegetables but low in sugar, sweets, refined carbohydraes Increase: • Vitamin C, Pantothenic Acid, Adrenal Cortex Extracts, Long Acting DHEA. Botanicals – Ginsengs, Rhodiola • Correct blood sugar and pain issues, help improve sleep quality. • Treat chronic infection(s)

9. Allergies • Test for food and environmental allergies (if sx warrant) (serum, elimination diet or skin (only airborne) • Avoid food allergies and rotate borderline and non allergic foods • Reduce exposure to airbornes • Oral desensitization for food/airborne allergies • Correct “Leaking Gut”, “Gut Dysbiosis” and “Digestive Deficiences”

10. Chronic Infections • Many patients with Chronic Fatigue have Chronic active Viral Infections • Test for: • Epstein Barr Virus • Cytomegalo Virus • Possible – Hepatitis B and C, HIV • Tx: with naturopathic antiviral immune enhancers, targeted transfer factors (for specific virus) • Echinacea, Sambucus, Vit C, Thymus, melatonin, Astragalus)

11. Conclusion Take care of your health! Be Proactive! Get thorough checkups and be a good steward of your health Why? To live a longer, healthier, more enjoyable life – to be better able to serve our LORD