Treating the Gut May Be One Answer for Post-Spike Syndrome (PSS) or Covid Long Haul Reports Brazilian Medical Group

Treating gut dysbiosis, reducing inflammation, and a hyperimmune response may resolve symptoms of extreme fatigue, brain fog, neuropathies, and reactivation of prior illnesses...5 case successes... (Watch YouTube Summary of this Research by Kirk Hamilton PA-C)

POST SPIKE SYNDROME (PSS)- DYSBIOSIS - BIFIDOBACTERIA -IVERMECTIN - NATTOKINASE - Post spike syndrome (PSS): Simple solution leading to resolving results, five cases report. ScienceDirect, IDCases, Volume 41, 2025, e02278. Zeballos RS et al.
Kirk’s Commentary: In this article 5 cases of dramatic resolution of systemic diseases are reviewed of females 44-70 years of age, two had both the Covid vaccination and cases of Covid; one had the vaccine and no Covid infection; and two had the Covid infections and no vaccine. The five cases had combined diagnosis of interstitial granulomatous dermatitis, polymyalgia rheumatica, peripheral polyneuropathy, drug-refractory epilepsy and trigeminal neuralgia.

*** HIGHLY RECOMMENDED LISTENING TO DR. PETER MCCULLOUGH INTERVIEWING Dr Roberto Zeballos who is the lead author of the above article from Brazil on the above paper reviewed on the McCullough Report July 14, 2025.

TREATMENT:
1) Four of 5 had 5 days of Cipro 500 mg daily first. The one who didn’t get Cipro because prior to the study period was placed on antibiotics but didn’t tolerate Augmentin but did take moxifloxacin HCL 400 mg for 14 days.
2a) Following the antibiotics was Nattokinase 100 mg twice daily was given for 90 days;
2b) Ivermectin 3 times per week for at least 8 weeks at 6 mg/30 kg (or 6 mg/66 lb; ex. ~130 lb women would take approximately ~ 12 mg daily of Ivermectin);
2c) Bifidobacteria probiotic providing 335 mg twice daily for 90 days (bifidobacter is known to be diminished in Covid patients).
Dr. Zeballo does the above treatment 4-6 weeks. Then he refers his patients to his nutritionist.
3a) Dr. Roberto Zeballos’s Nutritionist
Phase 1 - Diet: 3 days of raw foods - vegetables and fruit, berries, smoothies. eliminates animal protein/just fruit and vegetables.
Phase 2 - Diet next 5 days to 8 weeks a little bit of “protein”, vegetables, raw foods, smoothies, teas.
His nutritionist for 14 days no alcohol, gluten (wheat), dairy, sugar and processed carbohydrate.
3b) Dr. Zeballos recommends vitamin C regularly increases bifidobacteria and vitamin D sometimes. He doesn’t give very many vitamins. He is concerned about gastritis.
3c) Dr. Zeballo’s nutritionist recommends more supplements - beta-glucan, magnesium, selenium, psyllium fiber, bifidobacteria, enzymes, bioflavonoids, macha tea, green tea.
4) Exercise regularly
5) Meditation
6) Dr. Zeballo personally eats for “his body” 5 days a week and 2 days a week he eats for his heart. Small about of alcohol. Takes care of “soul” 2 days per week. Meditates in the sun and exercises.

During the pandemic Dr. Zeballos’s medical group treated more than 11,000 patients. Since January, 2023 they observed a “…surge in Post-Spike Syndrome (PSS) case. The number of cases has continued to rise, and we are currently seeing 3-4 new cases per day.” They have treated over 400 PSS patients in this manner with excellent results.

Conclusion: This is exciting because somehow the gut microbiota is altered by a Covid infection and/or Covid vaccine (or vice versa), with the implication that the spike protein from either is involved in triggering some type of vasculitis, inflammation or hyperimmune response possible through a leaky gut. The antibiotics may wipe out abnormal gut flora and the reinoculation of the bowel with bifidobacteria helps heal the gut and reduce inflammation. The nattokinase may help break down the spike protein, inhibiting clotting and/or vasculitis to some degree, while Ivermectin applies an anti-iflammatory or antiviral effect. Collectively they heal the gut and reinoculate it, reduce the spike protein, inflammation and immune challenge calming down the external illnesses described. You take these above case studies/article in conjunction last week’s interview with pancreatic cancer specialist from Japan, Makoto Abrue, MD, PhD and his paper Repeated COVID-19 Vaccination as a Poor Prognostic Factor in Pancreatic Cancer: A Retrospective, Single-Center Cohort Study and you can see the concern for the continued promotion of the Covid vaccine which delivers an altered spike protein that can “live” in the body for an unknown period of time and cause metabolic dysfunction resulting in other systemic diseases and symptoms. In this Brazilian research as in so many illnesses a healthy gut flora and barrier may help cure or minimize the expression of the disease.

*** HIGHLY RECOMMENDED LISTENING TO DR. PETER MCCULLOUGH INTERVIEWING Dr Roberto Zeballos the lead author of the above article from Brazil on this landmark paper on the McCullough Report July 14, 2025.
References:
Lost microbes of COVID-19: Bifidobacterium, Faecalibacterium depletion and decreased microbiome diversity associated with SARS-CoV-2 infection severity.
Cardiac findings in a phase II double-blind randomized placebo-controlled trial of combination therapy (HAZDPac) to treat COVID-19 patients.
Multifaceted highly targeted sequential multidrug treatment of early ambulatory high-risk SARS-CoV-2 infection (COVID-19).

For Appointments for the treatment of Covid, Covid Long Haul or Post Spike Syndrome, or Post Covid Vaccine problems contact Health Associates Medical Group 916-489-4400 and make an appointment with Kirk Hamilton PA-C.

For the rest of this post for links to "Current Research in Nutrition, Prevention and Integrative Medicine; Cancer and Covid Syndrome News" Click on THIS LINK to Kirk Hamilton’s “Staying Healthy Today” Substack. 

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Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 489-4400 (w)
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www.StayingHealthyToday.com
www.HealthyLivingforBusypeople.com
www.KwikerMedical.com

 

Magnesium IV and Orally for Migraine Headaches, Headaches, and Pain Syndromes An Interview with Neurologist and Pain Specialist Alexander Mauskop, MD

Migraines, Headaches and Pain…The Beneficial Effects of IV and Oral Magnesium. A Neurologist’s 30 years of Clinical Experience.

“…1 gram of MSo4 given in 10 cc normal saline by IV push over 5-10 minutes may have a better clinical effect than diluting the magnesium and giving it slower in an IV drip…”

“Clinical Uses of Magnesium Intravenously and Orally in the Treatment of
Migraine Headaches, Headaches and Pain”
an Interview with Neurologist and Pain Specialist Alexander Mauskop, MD

Alexander Mauskop, M.D.
New York Headache Center
30 East 76th Street
New York, NY 10021 USA
(212) 794-3550 / (212) 794-0591 (FAX)
drmauskop@nyheadache.com
www.nyheadache.com

The Science Behind Magnesium and Headaches (video); and The End of Migraines: 150 Ways to Stop Your Pain (book); Migraine Headaches and Magnesium, 1996 Expert Interview with Kirk Hamilton PA-C (click on link – control F – search “Mauskop” to find 1996 interview)

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“Clinical Pearls” by Kirk Hamilton PA-C from neurologist Dr. Alexander Mauskop’s “Staying Healthy Today Interview”…

  • Dr. Mauskop went to medical school in Ukraine right out of high school into a 6 year program. He did his four years of neurology residency in the United States at State University of New York (SUNY, 1979) and two years of pain fellowship at Sloan Kettering. He is a board certified neurologist and pain specialist. He has been treating headaches and pain syndromes for more than 30 years.

  • Dr. Burton Altura (professor of physiology) at State University of New York exposed him in the early 1990s to the concept of using magnesium in the treatment of migraine headaches and the importance of ionizable magnesium as the most accurate measurement of magnesium (98% of magnesium is intracellular). 50% of patients during an acute migraine attack had lowered levels of ionized magnesium. 1) 2) 3) 4)

  • The ones that responded to the IV magnesium and had headache symptoms reduced were magnesium deficient/insufficient. (RBC magnesium <5 mg/dl)

  • Those who respond to intravenous magnesium are generally deficient. Magnesium therapy generally doesn’t work for migraines if the patient is adequate in magnesium (RBC 5-6.4 mg/dl).

  • Magnesium is routinely given IV (MgSo4 – easily available, cost effective, and has been used in pre-eclampsia in much higher doses 5-6 gms so it is safe) 1-2 gm in 10 mls of normal saline over 5-10 minutes.

  • Giving it over 5-10 minutes IV push versus a slower drip diluted in more fluid appears clinically to have a better effect (tapering speed to patient flush, warmth, sleepiness, light headedness, etc. if administered too fast). The possible explanation is a higher tissue level with the IV push driving magnesium into the cell versus during a slower IV drip the magnesium may be excreted through the urine. Always administer to patient laying down.

  • People who are really deficient feel euphoric sometimes and they feel warm but comfortably so.

  • This 1 gram IV push (in some patients 2 grams) can be done monthly prophylactically or for an acute headache. Always give IV magnesium with the patient lying down.

  • Oral magnesium can be used prophylatically and the best assessment for the average clinician is RBC magnesium, not serum. Also the general range of RBC magnesium is 4.0-6.4 mg/dl. You want to get to 5 or above to reduce the likelihood of insufficiency.

  • He usually gives IV magnesium either in subjects with an acute headache and those that come in monthly IV for their shot.

  • There are many types of oral magnesium products (i.e glycinates, citrates, gluconates, taurates, oxides, aspartates, chelates, threonate, chloride, etc.). Whatever a patient chooses for oral intake should be followed by a RBC magnesium test trying to get a level greater than 5. The only real side effect from oral intake is diarrhea. Oral intake is reasonable between 350-450 mg/d with no GI upset or loose stools.

  • Take the magnesium at night can help them sleep.

  • The best time for a monthly injection is premenstrual for women. The magnesium can prevent a headache and reduce menstrual cramps.

  • Other pain syndromes that may benefit from IV magnesium are the pain of fibromyalgia, IBS, low back pain, shingles, neck pain…conditions that have low or low normal RBC magnesium of less than 5 mg/dl (optimal 5.0-6.4).

  • Magnesium is a predominantly an intracellular ion and acts as a natural “calcium channel blocker”. It effects over 300 enzyme systems in the body. It may work in migraine by 1) dilation and relaxation of blood vessels inhibiting or reversing blood vessel spasm 2) The magnesium ion “sits” inside the NMDA receptor blocking calcium’s entry and therefore blocking the transmission of pain. 3) Magnesium has an anti-inflammatory effect.

  • Magnesium deficiency may play a role in migraines by promoting cortical spreading depression, alteration of neurotransmitter release and the hyperaggregation of platelets.

  • Other nutrients that may benefit migraines: Vitamin B12 (> 500 pg/ml, closer to a 1000 may be more optimal); CoQ10 with levels > 1 mg/L, vitamin D > 50 ng/ml; vitamin B2; omega fatty acids (omega check ~ 5); ginger; alpha lipoic acid.

  • Food intolerance can play a role. He states the most common cause is sugar. When people consume sugar they may have a low blood sugar response and subsequent headache. Sometimes he will use metformin. Other commonly mentioned foods are: caffeine too much and withdrawal; sweets, chocolate, foods that are smoked, pickled, cured, have preservatives, sulfites, nitrates; cheese, dairy products, gluten. Any food can if particular to that individual.

  • Dr. Mauskop is a licensed acupuncturist and recommends 3-4 treatments to see if the patient will respond (works for 60% of people). People who really “enjoy” the initial treatment are generally the best responders.

  • Biofeedback, electrical stimulation may be of benefit.

  • Meditation is recommended.

  • There are so many options for headache sufferers. There is always one more thing to try. Check out Dr. Alexander Mauskop’s book The End of Migraines: 150 Ways to Stop Your Pain.

Alexander Mauskop’s MD Partial Publication List:

Serum ionized magnesium levels and serum ionized calcium/ionized magnesium ratios in women with menstrual migraine
Complementary and alternative approaches to the treatment of tension-type headache
Role of magnesium in the pathogenesis and treatment of migraine
Foods and supplements in the management of migraine headaches
Assessment: symptomatic treatment for muscle cramps (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
Magnesium in headache
Alternative headache treatments: nutraceuticals, behavioral and physical treatments
Why all migraine patients should be treated with magnesium
Nonmedication, alternative, and complementary treatments for migraine
Complementary and alternative approaches to the treatment of tension-type headache
Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society
Nutraceuticals in Acute and Prophylactic Treatment of Migraine
Stem Cells in the Treatment of Refractory Chronic Migraines
Intravenous Magnesium Sulfate to Treat Acute Headaches in the Emergency Department: A Systematic Review – A Comment
One-Year Consistent Safety, Utilization, and Efficacy Assessment of Remote Electrical Neuromodulation (REN) for Migraine Treatment

For Appointments for the treatment of headaches and other pain syndromes utilizing diet, nutritional supplements, shockwave therapy, exercise contact Health Associates Medical Group 916-489-4400 and make an appointment with Kirk Hamilton PA-C.

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Repeated Covid Vaccinations Result in Poorer Pancreatic Cancer Outcomes...An Interview with Makoto Abue, MD, Miyagi Cancer Center, Miyagi, Japan...

(video summary)

"..despite no major changes in our treatment system, the prognosis began to deteriorate from 2021 and worsened significantly after 2022. This period coincided exactly with the start of vaccination.."

Pancreatic Cancer Prognosis Worsened After Repeated Covid-19 Vaccination

Makoto Abue, MD
Department of Gastroenterology
Miyagi Cancer Center Nodayama 47-1, Medeshima-Shiote, Natori
Miyagi, Japan, 981-1293 (7/2025)
+81-22-384-3151 tel / +81-22-381-1174 (FAX)
abue-ma742@miyagi-pho.jp

“Repeated COVID-19 Vaccination as a Poor Prognostic Factor in Pancreatic Cancer: A Retrospective, Single-Center Cohort Study. Cancers (Basel). 2025 Jun 16;17(12):2006. PDF  (Author Updated 7-10-25)

Kirk Hamilton:            Can you please share with me your educational background and current position?

Makoto Abue:              First, let me introduce myself. After graduating from Jichi Medical University in 2000, I worked in community medicine for seven years following two years of initial training. Since then, I have worked at the Miyagi Cancer Center for approximately 16 years. During this time, I conducted research on microRNA (miRNA) and obtained a Ph.D... I specialize in gastroenterology and oversee the biliary tract and pancreatic areas. I am currently the head of the gastroenterology department. The academic societies I belong to include the Japanese Society of Gastroenterology, Japan Gastroenterological Endoscopy Society, Japan Pancreas Society, and Japan Biliary Association. I mainly perform endoscopic examinations and treatments of the biliary tract and pancreas, as well as chemotherapy. My lifelong goal is to improve pancreatic cancer prognosis. To that end, I am interested in finding tests and treatments that lead to better prognoses. Conversely, I am interested in avoiding or overcoming those that may lead to poor prognoses. My intention is to provide pancreatic cancer patients with as many benefits as possible.

KH:       What got you interested in studying the role of repeated Covid vaccinations and pancreatic cancer prognosis?

MA:      As shown in our paper, the prognosis of pancreatic cancer gradually improved until 2020 due to the developments in diagnosis and treatment. However, despite no major changes in our treatment system, the prognoses began to deteriorate from 2021 and worsened significantly after 2022. This period coincided exactly with the start of Covid vaccination, raising concerns that the booster vaccination was having a negative impact. Under these circumstances, I further questioned the situation where repeated vaccinations of three, four, five or six times in a short period of time were recommended. In Japan, there is a lack of sufficient verification of actual clinical data (real-world data) on the efficacy and safety of repeated vaccinations, including additional vaccinations. In particular, we believe that more research is needed on evidence related to additional vaccinations. We have been waiting for the government to conduct such verification, but, as there has been no progress, we have decided to investigate the effects of additional vaccinations at our facility.

KH:       What is the significance of IgG4 levels in cancer and pancreatic cancer patients specifically? What does the term “immune suppressor” with regards to IgG4 levels mean?

MA:      IgG4, one of the subclasses of IgG, has attracted attention due to its role in allergic reactions and autoimmune diseases. IgG4-related diseases are a group of diseases characterized by the infiltration of organs with IgG4-positive plasma cells and lymphocytes, accompanied by fibrosis. In the field of pancreatic diseases, these diseases are of interest due to the need to differentiate them from cancer through imaging, as well as their association with cancer. In healthy individuals, IgG4 accounts for only a few percent of all IgGs. The Fc region of IgG4 is characterized by its inability to activate complement C1q and its low binding affinity for Fcγ receptors. This property of IgG4 suppresses excessive Fcγ receptor-mediated immune responses. Furthermore, IgG4 is thought to exert anti-inflammatory effects by becoming a functional unit through Fab arm exchange. Production of IgG4 is induced by antigen stimulation and Th2-type cytokines, such as IL-4 and IL-13. It has also been reported that activation of IL-10-producing regulatory T cells in a Th2-dominant environment further promotes IgG4 production. Thus, high levels of IgG4 suggest that the organism may be shifting toward immunosuppression and anti-inflammation.

KH:  When you say “spike-specific” IgG4 levels I am assuming you are referring to the spike protein? Why only measure “spike-specific” IgG4 levels? Why not also measure the nucleocapsid IgG4 levels to the SARSCov2 virus?

MA:      In our paper, “spike-specific” means “spike protein-specific”. This study did not consider nucleocapsid proteins. These proteins are important for studying antibody dynamics, including the effects of infection, and they may further clarify the relationship between vaccines and the immune response. In this study, we examined the prognosis of pancreatic cancer patients who received repeated vaccinations. Our focus was on the impact of repeated vaccination rather than infection. Previous studies have reported that repeated mRNA vaccination increases spike protein-specific IgG4. The aim of this study was to validate this finding and determine whether there is a relationship between IgG4 and the poor prognosis of pancreatic cancer. Based on these results, spike-specific IgG4 alone was sufficient for evaluation, and nucleocapsid protein was not measured. However, nucleocapsid proteins may provide additional insight, and this study is a topic for future investigation.

KH:       Is the spike protein the “toxic,” “inflammatory” or “procarcinogenic” component of the Covid vaccination/booster?

MA:      The mRNA-LNP platform produces spike proteins and stimulates the production of antibodies. Our study showed that individuals who received three or more doses of the mRNA vaccine had elevated IgG4 levels. The shift to IgG4 is notable for its immunosuppressive and anti-inflammatory properties, and it is an active area of research. Some hypothesize that this response may be due to, or contribute to, excessive or prolonged immune activation. Conversely, others suggest that it is a mechanism of immune tolerance to repeated exposure to the antigen. The precise clinical significance of IgG4 elevation after multiple vaccinations and the role of spike proteins in the potential inflammatory process are topics for future research. Mentioning the "toxicity" and "carcinogenicity" of spike proteins in this study may be difficult. Nevertheless, concerns have been reported about the organ-damaging properties of the spike protein, including its effects on the heart, blood vessels, nerves, and ovaries. Regarding carcinogenicity, some experts are concerned about SV40 contamination, estrogen receptor effects, and effects on tumor suppressor genes. We believe these concerns require further validation.

KH:       Can you tell us a little bit about your study and the basic results?

MA:      In our study, when we investigated prognosis in overall survival of pancreatic cancer, we found that those who received 3 or more COVID-19 vaccinations had significantly shorter survival. And when we investigated IgG4 among them, we found that IgG4 was elevated in patients who had received three or more vaccinations, again indicating a poor prognosis (IgG4 was particularly elevated in patients with short prognoses, such as those who died within 90 days). Additionally, regulatory T cells were also prominent in cancer cells of frequent vaccinators and those with high IgG4 levels. It was suggested that frequent vaccinations may lead to immune evasion of cancer, creating an environment conducive to cancer growth. We further investigated the relationship between spike-specific IgG4 and total IgG4. The results showed that spike-specific IgG4 increased markedly with increasing vaccination frequency. Spike-specific IgG4 was positively correlated with total IgG4, and those with elevated spike-specific IgG4 also tended to have higher total IgG4 levels. In other words, repeated mRNA vaccination over a short period of time tended to elevate IgG4, suggesting that the immune balance may have shifted toward suppression. However, this is a single-center, retrospective cohort study with a limited number of cases. Therefore, we believe that further large-scale validation and discussion are needed. We hope that our paper will serve as a starting point.

KH:       In your opinion should Covid boosters not be recommended in pancreatic cancer patients? How about cancer patients in general? Should they get Covid vaccinations, boosters or initial injections?

MA:      Based on the results of this study, I would personally be reluctant to recommend short-term, repeated vaccination for all solid tumors, including pancreatic cancer. Our findings may be applicable to many cancer patients. However, our results are based on a single hypothesis from a single-center, retrospective cohort study and are open to further discussion. Public health agencies continue to make recommendations for cancer patients, and we refer readers to these agencies for comprehensive reviews. To date, the benefits have been considered to outweigh the risks. Nevertheless, breakthrough infections following vaccination are now common, and the virus has been attenuated. The number of peer-reviewed papers on various adverse effects is also increasing. For better public health policy, we believe that the efficacy and safety of vaccines need to be reexamined and debated.

KH:       There has been a term called “turbo cancers” in public social media circles associated with the Covid vaccines. Meaning more cancers occurring in younger patients, with faster progression, or quicker recurrence of cancers and more rapid progression to death in patients with prior cancers. Might this above observation, the elevated IgG4 spike specific antibody levels in cancer patients with more rapid progression, be a cause of these “turbo cancers” and a sound reason not to get further Covid immunizations?

MA:      Due to the risk of myocarditis and the low severity of the infection, caution should be exercised when considering the vaccination of young patients. Furthermore, the results of this study suggest that repeated vaccination in a short period of time may not benefit cancer patients. Whether these results are sufficient reason to avoid vaccination requires extensive validation and debate among public health authorities, academics, and the general public.

KH:       Are you aware of any way to lower the “spike-specific IgG4” levels? i.e Nattokinase, bromelain, curcumin, NAC, etc.) 1) 2) 3) 4) (See Base Spike Protein Detoxification algorithm halfway down the page)

MA:      I don't know of any way to reliably lower it. However, the half-life of IgG4 is usually about three weeks. I believe that it will settle down if there are no repeated vaccinations or infections within a short period of time. Once chronic antigenic stimulation ends and the body clears spiked proteins, I believe the immune balance will gradually normalize. There may be individual differences, depending on one's ability to process the spike protein. Of course, using the method described in the link may be a good idea.

KH:       Do you ever measure quantitative IgG spike protein antibodies in those cancer patients who have been vaccinated and see if higher levels of these spike protein antibodies is correlated to recurrence?

MA:      Our institution has not studied the quantification of spike-specific IgG antibodies and cancer recurrence.  Due to our current clinical workload and limited research and human resources, it is difficult to continue and develop research independently at our institution. (However, if the idea of a collaborative study with another facility emerges, we may consider the study).

KH:       Any closing thoughts you may have on this very interesting and timely topic?

MA:      Thank you for this interview today. I appreciate your interest in my research. I hope it will give as many people as possible an opportunity to think about vaccination and their own immunity.

KH:       Thank you Dr. Abue for your timely, detailed, credible and critically important work which may save lives and much human suffering.

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3301 Alta Arden, Suite 3
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Staying Healthy Today Research for July 3, 2025

Nutrition, Prevention and Integrative Medicine…

AGING – CREATINE- MUSCLE – 3 Reasons Creatine Is The Ultimate Longevity Supplement. By Molly Knudsen, M.S., RDN, MindBodyGreen, June 19, 2025.
1) It helps you build muscle (during a time when muscle loss is common). The Effects of Creatine Supplementation Combined with Resistance Training on Regional Measures of Muscle Hypertrophy: A Systematic Review with Meta-Analysis.
2) It supports bone health. Effects of Creatine and Resistance Training on Bone Health in Postmenopausal Women.
3) It supports sharper thinking & a better memory. Effects of creatine supplementation on memory in healthy individuals: a systematic review and meta-analysis of randomized controlled trials.

AGING – OMEGA-3 FATTY ACIDS – VITAMIN D – Recent Study Shows Omega-3s & Vitamin D Slow Biological Aging. By Molly Knudsen, M.S., RDN MindBodyGreen, June 18, 2025.
1) Individual and additive effects of vitamin D, omega-3 and exercise on DNA methylation clocks of biological aging in older adults from the DO-HEALTH trial.

ALZHEIMER’S – COGNITIVE DECLINE – SLEEP – Are You Getting Enough Sleep? Experts Say It’s Essential If You Want To Prevent Neurological Conditions. By Sarah Regan, June 13, 2025, MindBodyGreen.
1) Individual and additive effects of vitamin D, omega-3 and exercise on DNA methylation clocks of biological aging in older adults from the DO-HEALTH trial.

ALZHEIMER’S DISEASE – EXERCISE – Role of Exercise in Prevention of Alzheimer’s Disease. Studies Find Considerable, Consistent Benefit, Peter A. McCullough, MD, MPH, Jun 16, 2025.
1) Physical exercise in the prevention and treatment of Alzheimer’s disease.
2) Physical activity and risk of neurodegenerative disease: a systematic review of prospective evidence.
3) Physical exercise, cognition, and brain health in aging.

BLOOD PRESSURE – BEET JUICE – Blood Pressure Reduction with Beet Root. Daily Juice or Supplements Worth a Shot, Peter A. McCullough, MD, MPH, Jun 15, 2025.
1) The Nitrate-Independent Blood Pressure–Lowering Effect of Beetroot Juice: A Systematic Review and Meta-Analysis.

BRAIN FUNCTION – OLIVE OIL – How Olive Oil Benefits Brain Function. This special oil may help combat neurodegenerative disease. By Zena le Roux, EPOCH Times, 6/23/2025.
1) Olive Oil Phenolic Compounds’ Activity against Age-Associated Cognitive Decline: Clinical and Experimental Evidence.
2) Consumption of Olive Oil and Diet Quality and Risk of Dementia-Related Death.

BURNS – CHOLORINE DIOXIDE – CHLORINE DIOXIDE to treat BURNS – “Infection prevention and tissue repair based on a chlorine dioxide solution” – rare 2022 paper by Mexican Orthopedic Surgeon Manuel Aparicio-Alonso, Dr. William Makis MD, Jun 21, 2025.

CHERRIES – ANTIOXIDANT – Research Shows Antioxidant-Rich Tart Cherries Support Recovery, Performance & Sleep*, Registered Dietitian Nutritionist, By Molly Knudsen, M.S., RDN, MindBodyGreen, March 6, 2025.
1) Tart Cherry Supplementation and Recovery From Strenuous Exercise: A Systematic Review and Meta-Analysis.
2) Effect of Tart Cherry Concentrate on Endurance Exercise Performance: A Meta-analysis.
3) Effects of powdered Montmorency tart cherry supplementation on an acute bout of intense lower body strength exercise in resistance trained males.
4) Pilot Study of the Tart Cherry Juice for the Treatment of Insomnia and Investigation of Mechanisms.
5) Acute Ingestion of Montmorency Tart Cherry Reduces Serum Uric Acid but Has no Impact on High Sensitivity C-Reactive Protein or Oxidative Capacity.
6) Effects of Tart Cherry Juice on Biomarkers of Inflammation and Oxidative Stress in Older Adults.

COGNITION – NUTRIENTS – 7 Anti-Alzheimer’s Nutrients and How to Take Them—A Brain Surgeon’s Guide. (curcumin, quercetin, tea catechins, omega-3 fatty acids, Vitamin E, luteolin, magnesium)

DRUG INDUSTRY – BIG PHARMA – New ACIP Panel, Senators Push to Eliminate Direct-to-Consumer Drug Advertising. Will These Changes Restore Public Trust? Break BIG PHARMA Control over Media?, Peter A. McCullough, MD, MPH, Jun 17, 2025.

EYE EXERCISES – CATARACT – GLAUCOMA – 20-Minute Eye Care Routine to Protect Against Glaucoma and Cataracts. A set of eight effective eye exercises, designed to support a range of eye issues you can do at home. By Kuo-Pin Wu, EPOCH Times, 6/19/2025.

NEUROLOGIC DISEASE – MUSHROOM – LION’S MAIN – Lion’s Mane Mushroom May Help Reverse Neurodegenerative Disease and Iatrogenic Brain Damage. With over 43% of the global population affected by neurological disorders, mounting clinical and experimental evidence supports Lion’s Mane mushroom as a powerful neuroregenerative compound. Nicolas Hulscher, MPH, Jun 17, 2025.
1) Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021.
2) Catastrophic Neurological and Psychiatric Damage from COVID-19 ‘Vaccines’.Increased risks of ischemic stroke, hemorrhagic stroke, transient ischemic attack, myelitis, myasthenia gravis, Alzheimer’s disease, cognitive impairment, depression, anxiety, and sleep disorders. Nicolas Hulscher, MPH, Jan 05, 2025.
3) Study Identifies 86 Serious Neuropsychiatric Safety Signals Linked to COVID-19 Vaccination. CDC/FDA safety thresholds breached for 86 adverse events including dementia, schizophrenia, suicidal and homicidal thoughts, stroke, psychosis, depression, cognitive impairment, delusions, and more. Nicolas Hulscher, MPH, Apr 14, 2025.
4) Hericium erinaceus in Neurodegenerative Diseases: From Bench to Bedside and Beyond, How Far from the Shoreline?

PELVIC FLOOR EXERCISES – 8 Steps To Optimizing Your Pelvic Floor Health At Every Age, By Jason Wachob, MindBodyGreen, June 15, 2025.

PELVIC FLOOR WEAKNESS – Signs Of A Weak Pelvic Floor & How To Strengthen Yours, A Urologist Explains. By Megan Falk, MindBodyGreen, June 21, 2025,

PILOT INCAPACITATION – May 23, 2025 United Airlines Flight UA-194 (SFO-MUC) from San Francisco, CA to Munich Germany with 286 people on board – first officer incapacitated. Dr. William Makis MD, Jun 19, 2025.

PILOT INCAPACITATION – United Airlines Flight UA-71 (AMS-EWR) from Amsterdam to Newark, NJ, USA on April 15, 2025 – pilot had a “heart ache”. Dr. William Makis MD, Jun 19, 2025.

PILOT INCAPACITATION – March 24, 2025 Iberia Airlines Flight IB1679 (MAD-PMI) Madrid to Palma flight crew had medical emergency. Dr. William Makis MD, Jun 21, 2025

PREGNANCY – NAUSEA – MITOCHONDRIA – Nausea and Vomiting of Pregnancy Is Mitochondrial Dysfunction. The fascinating intersection between pregnancy and mitochondrial dysfunction and what to do about it. Chris Masterjohn, PhD, Jun 15, 2025.

TOXINS – MICROPLASTICS – HUMAN BLOOD – Blood Filtration May Remove Microplastics from the Human Body. New study offers first evidence that therapeutic apheresis can extract microplastics from human blood. Nicolas Hulscher, MPH, Jun 20, 2025

VACCINES – ALUMINUM – ASTHMA – AUTISM – SIDS – Five Studies Link Aluminum Vaccine Adjuvants to Asthma, Autism, and SIDS. Mass aluminum-based hyper-vaccination of children is pouring kerosene on the fire of chronic disease. Nicolas Hulscher, MPH, Jun 19, 2025.
1) Reviewing the association between aluminum adjuvants in the vaccines and autism spectrum disorder.
2) Aluminium in brain tissue in autism.
3) Do aluminum vaccine adjuvants contribute to the rising prevalence of autism?
4) Vaccines May Trigger Sudden Infant Death Syndrome via Brainstem Failure. New study finds that immature infant livers may fail to clear toxic vaccine ingredients—triggering inflammation and brainstem dysfunction that can lead to sudden death during sleep. Nicolas Hulscher, MPH, Jun 03, 2025.
5) Association Between Aluminum Exposure From Vaccines Before Age 24 Months and Persistent Asthma at Age 24 to 59 Months.

Vitamin C and Your Hormones, Especially Your Adrenal Glands

Adrenal Glands, Vitamin C and Health

The adrenal glands have a very high concentration of vitamin C, among the highest in the body. Vitamin C is crucial for the synthesis of adrenal hormones, especially those involved in the stress response. The adrenal glands are very important in regulating blood sugar, blood pressure, keeping inflammation down and helps detoxify just about anything from poisonings, insect bites, allergic reaction, etc..

The “God Father” of vitamin C in large dosage used clinically is former chest specialist Frederick Klenner, MD which Dr. Lendon Smith excellently collated his works and writings in his small, easily read book, Clinical Guide to the Use of Vitamin C. The Clinical Experiences of Frederick R. Klenner, M.D. abbreviated, summarized and annotated by Lendon H. Smith, M.D..
Kirk’s Comment: I personally don’t get into the different forms of vitamin C to say which is best. I frequently take a sodium ascorbate / ascorbic acid mix (1/4 tsp = 1000 mg) and just flick in on my tongue. Do a little “pucker” and I can feel it almost right away. A little uplift in energy, reduced reaction to a food or environment.

Cofactor for Hormone Production:
Vitamin C acts as a cofactor for enzymes involved in the production of adrenal hormones like cortisol and adrenaline.

Antioxidant Protection:
The adrenal glands are vulnerable to oxidative stress during hormone production. Vitamin C, as a potent antioxidant, helps protect them from damage.

Stress Response:
During stress, the adrenal glands release more cortisol and vitamin C, and some studies suggest that adrenal vitamin C levels may decrease during periods of stress due to increased utilization.

Adrenal Fatigue:
Vitamin C can be helpful in managing adrenal fatigue by supporting adrenal hormone production and protecting against oxidative stress.

HORMONES – Let’s Discuss: The Oft-Overlooked Nutrient That Helps Balance Mood & Hormones. By Hannah Frye, Beauty & Health Editor. MindBodyGreen, June 15, 2025.
1) Vitamin C is an important cofactor for both adrenal cortex and adrenal medulla.
2) Insufficient Vitamin C Levels among Adults in the United States: Results from the NHANES Surveys, 2003–2006.
3) Vitamin C improves endothelial function in healthy estrogen-deficient postmenopausal women.
4) Ascorbic acid is associated with favourable hormonal profiles among infertile males.
5) Oral ascorbic acid increases plasma oestradiol during postmenopausal hormone replacement therapy.
6) Vitamin C supplementation alleviates hypercortisolemia caused by chronic stress.
7) Vitamin C: an essential “stress hormone” during sepsis.
8) Ascorbic acid is associated with favourable hormonal profiles among infertile males.
9) Oral ascorbic acid increases plasma oestradiol during postmenopausal hormone replacement therapy.

Kirk Hamilton PA-C
Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 489-4400 (w)
https://stayinghealthytoday.substack.com/ 
krhammer@surewest.net
www.StayingHealthyToday.com
www.HealthyLivingforBusypeople.com
www.KwikerMedical.com

A Integrative Cardiologist's View on the Importance of the Endothelial Function and Heart Disease

WATCH INTERVIEW HERE OR HERE

“Clinical Pearls” from Dr. Van on the Importance of Optimizing The Endothelium

  • PATIENT INSPIRATION TO CHANGE FROM DRUGS TO NUTRIENTS: Patients inspired him by showing improvement in their health by taking supplements such as higher doses of vitamins C and D (5000 IU/d) and a broad spectrum high potency multivitamin/mineral (helped a patient dramatically with a neurologic condition) . This inspired him to look beyond drugs. Drugs give one possible benefit with the possibilityof many side effects. Patients also inspired him to look at prevention.

  • SELF -EDUCATED - Through patients, the internet and physicians such as neurosurgeon Russell Blaylock and hypertension specialist, internist at Vanderbilt University, Mark Houston, MD.

  • ENDOTHELIUM - The endothelium is the pristine inner layer of the artery lined with a slimy hair-like substance called the glycocalyx that protects us from the atherosclerotic process. The endothelium is the critical inner boundary of the 3 layers of each artery. It is a single layer thick. The endothelium keeps blood flowing smoothly and releases nitric oxide to help dilate the arteries. It is a barrier that protects the artery. The endothelium is said to have a surface area as large as a tennis court. On the inner lining of the endothelium is the glycocalyx discovered 30 years ago which is very fragile, “slimmy” and can be damaged easily, like the endothelium. Things that can damage either are a sedentary lifestyle, smoking, excess sugar consumption, uncontrolled hypertension and seed oils.

  • ATHEROSCLEROSIS: Oxidative stress from mitochondrial energy production can cause endothelial damage leading to atherosclerosis from inflammatory cytokines which attract white blood cells to attach to the endothelium. White blood cells can get through the endothelium into the middle layer and create plaque. Monocytes, a type of white blood cell, can get through the endothelium and become a macrophage which gobbles up damaged LDL cholesterol creating a foam cell causing inflammation, plaque and atherosclerosis. When LDL cholesterol becomes oxidized, it can become smaller and denser, forming small, dense LDL (sdLDL). This transformation is associated with increased atherosclerosis risk. Oxidized LDL (oxLDL) is more easily trapped in the artery walls, promoting inflammation and the formation of foam cells, which contribute to plaque buildup.

  • MEASURING ENDOTHELIAL FUNCTION - Vascular elasticity testing measures large arteries (C1) and small arteries (C2) leading to the capillaries and end organs. C2 arteries are much more dependent on good endothelial function and health. The C2 arteries effect oxygen being delivered to the end organ via the capillaries. So having normal C2 function is more important for overall vascular risk than a C1 measurement and is more correlated with overall vascular health.

  • LIPID PROFILE & CARDIOVASCULAR RISK: A Triglyceride/HDL ratio < 2.0 is optimal to maintain a healthy LDL cholesterol. The closer to one the better. When LDL cholesterol is not oxidized, large and “fluffy” is not a cardiovascular risk factor. This T/HDL ratio can be seen on any basic lipid profile by just dividing the total triglycerides by the HDL number.

  • DIET: Mediterranean Diet with good fats, organic vegetables, fruits, nuts, low glycemic whole carbohydrates, free ranged meats, fish - olive oil, avocado and coconut oils are optimal. Avoid pastas, processed carbohydrates, high fructose corn syrup, sugars, sweets and seed oils.

  • CHOLESTEROL: Dr. Van does not believe cholesterol is bad for heart disease. Sugar is the real enemy and high glycemic carbohydrates.

  • SUPPLEMENTS: Arterosil derived from sea algae (rhamnan sulfate a marine polysaccharide) provides nutrition to the endothelium and glycocalyx. It has been shown to remove plaque in the carotid arteries. He recommends products that make nitric oxide from the endothelium that dilate arteries (beet root derivatives), age garlic extract, omega 3 fatty acids, curcumin, green tea extract, vitamin C, magnesium, N-acetylcysteine, etc. Chelation therapy can be of benefit by helping to reduce heavy metal burden.

  • EXERCISE: Exercise 150 minutes per week of aerobic exercise - walking, biking, jogging, etc. is recommended for a healthy endothelium. Strength training also helps improve vascular flow to muscles during growth and stress.

  • BIG PHARMA - Big Pharma owns many aspects of medicine. Drugs are not the answer to improving vascular disease. If you help the endothelium you pretty much helps every organ in the body.To read all the additional information and topics on this substack please CLICK HERE:
    To subscribe to Kirk Hamilton PAC's Substack to receive information like this and more: CLICK HERE:

Kirk Hamilton PA-C
Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 489-4400 (w)
https://stayinghealthytoday.substack.com/ 
krhammer@surewest.net
www.StayingHealthyToday.com
www.HealthyLivingforBusypeople.com
www.KwikerMedical.com

 

Food Causes Pain...Try the "BED" Diet for Two To Four Weeks!

Watch Kirk’s YouTube Video: Any food can cause pain. It can be 5% of your problem or 90% of your problem. Point being before or as you do any type of pain management treatment from chiropractic, to massage, or prolotherapy, stem cells or injection of joints with anything follow these five diet rules for 2-4 weeks. Eat NO DAIRY PRODUCTS, WHEAT CONTAINING FOODS (all junk carbs), NO EGGS and if you can do it NO ALCOHOL and cut your COFFEE way back or eliminate it. And EAT ONLY UNPROCESSED, WHOLE FOODS. Like you were at a farmers market. I have seen food elimination bring 5% pain relief to 95%. Remember if you don't adjust your diet you are going to pay more money for extra treatments for whatever. Just try a Whole Food "BED" Diet (Basic Elimination Diet) minus alcohol and coffee if you can for a month. Just EAT OFF THIS FOOD LIST at this link. (PAGE 2 IS FOOD LIST TO EAT FROM - NOT ELIMINATE) If you would like to know more about the type of shock wave therapy I use and the devices read here. https://www.eswt.info/en/ and here https://www.emtt.info/en/ You can contact me at 916-489-4400 or at https://kwikermedical.com/

Be Well,

Kirk

Kirk Hamilton PA-C
Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 489-4400 (w)
krhammer@surewest.net
www.KwikerMedical.com
www.HealthyLivingforBusypeople.com
www.StayingHealthyToday.com

Updated IV (Intravenous) & IM (Intramuscular) Lists & Costs

IV COSTS AND DESCRIPTIONS

IV & IM (Intravenous & Intramuscular Therapy) are some of the most powerful tools in integrative, alternative, functional or “Nutrients Oriented Medicine” because they guarantee the nutrients get into the blood stream which can be suspect many times with oral supplements. Results usually are more immediate and help you recover quicker from your acute or chronic illness. There is virtually no medical condition that would not benefit from some intravenous (or intramuscular) infusions of the right nutrients. Our medical staff has 40-50 years of experience utilizing these infusions, see there many benefits and minimal side effects and overall safety. Ask our staff or your practitioner about what infusion might help you. The amounts and types of ingredients are determined in discussion with the patient about their symptoms.

TIER 1 IVs - $200
BVI – Basic Vitamin Infusion
CA EDTA – Calcium EDTA
GLUTATHIONE 1500-3000 mg (mg = milligram)
H202 250 – 500 cc (cc = ml)
HYDRATION 250-500-1000 cc  
MACULAR INFUSION
MVI 5-10 MG “Gentle Vitamin Infusion”
VITAMIN C 25 mgs (25,000 milligrams)

TIER 2 IVs - $230
NAD 250 mg - (nicotine adenine dinucleotide is the active coenzyme form of vitamin B3 and is important in energy production and increases ATP generation)
MJBVI 10 gm Vit C (contains additional arginine and carnitine)
MJMVI 10 gm Vit C (contains additional arginine and carnitine)
BVI 25 gm Vit C

TIER 3 IVs - $260
AMINO ACID
ALPHA LIPOIC ACID - (thioctic acid, liver/gallbladder diseases, neuropathies and breaks down carbohydrates for energy)
CHELATION (Disodium EDTA)
GLUTATHIONE 4000-6000
MINERAL REPLACEMENT
NAD 500 mg
PTC - (phosphatidyl choline) is a major part of lecithin is a mixture of fats that are essential to cells in the human body. Acetylcholine comes from phosphatidylcholine. Acetylcholine is important for memory)
VITAMIN/MINERAL REBUILD (chelation nutrients and fluid without Disodium EDTA)
Vit C 25gm MJBVI
Vit C 25gm MJMVI
Vit C 25gm BVI
Vit C 25 gm MVI
Vit C 50 gm
Vit C 75 gm

TIER 4 IVs - $300
NAD 1000 mg
Vit C 100 mg

ADD ON IV COST
$50 discount for each additional IV and/or office visit that day

SINGLE IM SHOTS
BBF (B1 thiamine, folic acid, vitamin B12), BF or B12 $19
B SHOTS 5 home $44 home
B SHOTS 10 shots $88 home
Testosterone (200 mg/ml) $30 with BBF

NAD HOME INJECTIONS $700 – 10 SHOTS 
rev (10/22/24)

“Partial List” of Conditions That May Benefit from IV (Intravenous) and IM (Intramuscular) Therapy
 ADHD – Attention Deficit Hyperactivity Disorder
Adrenal Insufficiency and Weakness
Allergic Rash
Allergy - Inhalant
Alzheimer’s Disease
Anxiety
Arrhythmias (irregular heartbeats)
Asthma
Athletic Recovery
Atrial Fibrillation
Bell’s Palsy
Blood Pressure High or Low
Brain Fog
Cancer
Chronic Fatigue Syndrome
Constipation
Covid Long Haul
Cramps - Muscles
Crohn’s Disease
Dehydration
Depression
Facial Twitches
Fatigue
Fatty Liver Disease
Fibrocystic Breast
Fibromyalgia
Headaches
Heart Disease
Heavy Metal Toxicity (Lead, Cadmium, Mercury, Nickel)
Hepatitis (Autoimmune, Alcohol/Drug-Induced, Infectious)
Herpes Oral & Vaginal
Infections
Irritable Bowel Syndrome
Low Back Pain
Macular Degeneration
Mental Clarity
Neck Pain
Neuropathies
Pain – Chronic or Acute
Painful Menstrual Cramps
Parkinson’s Disease
Post Viral Fatigue/Cognition Recovery
Premenstrual Syndrome
Upper Respiratory Infections
Shingles (early treatment best)
Sinusitis
Stroke/Heart Attack Recovery
Surgery – Pre & Post
Ulcerative Colitis
Viral Illness Unknown Origin
Weakness - General
Wound Healing

Discuss with your practitioner
the best IV/IM option for you…
Call 916-489-4400

www.kwikermedical.com

Food Causes Pain...Try the "BED" Diet for Two To Four Weeks! Simple!

(Watch Video 4:55 min:sec) Any food can cause pain. It can be 5% of your problem or 90% of your problem. Point being before or as you do any type of pain management treatment from chiropractic, to massage, or prolotherapy, stem cells or injection of joints with anything follow these five diet rules for 2-4 weeks. Eat NO DAIRY PRODUCTS, WHEAT CONTAINING FOODS (all junk carbs), NO EGGS and if you can do it NO ALCOHOL and cut your COFFEE way back or eliminate it. And EAT ONLY UNPROCESSED, WHOLE FOODS. Like you were at a farmers market. I have seen food elimination bring 5% pain relief to 95%. Remember if you don't adjust your diet you are going to pay more money for extra treatments for whatever. Just try a Whole Food "BED" Diet (Basic Elimination Diet) minus alcohol and coffee if you can for a month. Just EAT OFF THIS FOOD LIST at this link. (PAGE 2 IS FOOD LIST TO EAT FROM - NOT ELIMINATE) If you would like to know more about the type of shock wave therapy I use and the devices read here and here. You can contact me at 916-489-4400 or at https://kwikermedical.com/

Case Studies of Shockwave and Magnetic Field Therapy for General Practice Aches, Strains and Pains (neck, backs, knees & heels)

I have been doing shockwave therapy since May of 2020 (EPAT) and have used pulsed electromagnetic field therapy (EMTT) since January of 2022. They go hand-in-hand to help your body heal itself. The former stimulates a healing response, reduces pain (substance P), enhances new blood vessel formation, breaks down fibrous tissue and stimulates stem cells. The latter opens up ion channels and "resets" the cell, like when you reboot a computer so it can optimally function. I and other regenerative practitioners use these modalities together. Some physicians also use biologics (prolotherapy, PRP, stem cell injections, etc.) with EMTT and EPAT.

Since I work in a general practice I use these technologies for just about anything and everything. Joint pain, tendinitis, ED, frequent urination, neuropathies, sprains and strains, etc.. Just Google "Pub Med shockwave and whatever problem“ you have and see what comes up in the National Library of Medicine. There is a lot. With that said shockwave therapy is a bit of an art form. Everyone does it a bit differently. There is not an absolute protocol for every condition. You learn by reading the science, watching and listening to others who have seen and done a lot, and then experiment on what works in your hands. The really good thing about shockwave therapy is that there are very few side effects.

Many times I will say shockwave or EPAT there is like a "tsunami." You have that initial burst of the energy wave like from an earthquake let's say and as the wave goes through the water, underneath the surface it is stirring up the sand and biological life to create new life. Shockwaves do that by stimulating your body's own healing mechanisms.

Can shockwave "cure" a problem? Yes and no. You can do it for plantar fasciitis let’s say. It feels 80% better by the end of 6-8 treatments. Then 2-3 months later it is gone. Then it comes back months or a year later. Was it cured? Yes, and no. As long as people keep living and getting older, the biology of aging which includes inflammation continues at varying rates  depending on how you take care of yourself, eat, exercise, take supplements, etc... Ailments may return, maybe at a lesser intensity and shorter duration. Just think about it. Those of you 40 and above does your body heal as fast and completely as when you were 15-20? So that is why lifestyle is so important in any therapy, especially therapies that stimulate your own healing response.

Mechanisms of Shockwave Therapy and EMTT include:

1)     Neovascularization – the building of new blood vessels

2)     Release of growth factors such as eNOS (endothelial nitric oxide synthase)

3)     VEGF (vascular endothelial growth factor)

4)     PCNA (proliferating cell antinuclear antigen).

5)     An anti-inflammatory effect

6)     A breakdown of fibrous tissue

7)     Stimulation of stem cells

The two biggest things I have learned from doing shockwave and studying under others who have more experience is that 1) Less (treatment) is more and 2) your final healing result won't be at the end of your 4-8 weeks of treatment but 10-12 weeks after that. I keep getting individuals saying after 10-12 weeks the problem just disappeared. That still catches me off guard but now it is easier for me to believe... the healing response continues after the treatment is done!

Here are Some Quick Cases Showing How I Approach Different Conditions...

#1 Sudden Calf Strain in 72-Year-Old...
A 72-year-old male comes in with a black and blue (ecchymosis) calf limping. He was doing some stretches, calf raises and squats without straining, and his leg gave out and he had a sharp pain in the back of his calf...and it was all black and blue when he came in and he had limped considerably. Immediately after the first treatment (EPAT/EMTT) as he was waiting to pay the bill, he said his calf felt much better. He came in one week later and all the black and blue areas were gone, and he was walking with a minimal limp. He has had four sessions on his calf (45 minutes) and he feels almost normal with no visual signs of swelling or black and blueness on his lower leg.

Comment: This was a simple injury that would eventually heal anyway. Little doubt in my mind and most importantly the patient who is paying the bill that it happened quicker with the treatment, and he is glad he did it. This individual was a farmer. After the initial injury he fell several times in the field just walking on uneven ground because his leg "gave out." So, getting him back to normal quicker wasn't just for the pain but to improve function and protect him from falling.

#2 Preventive Treatment for Knee Arthritis for Hike in the Italian Alps...

A 74-year-old male avid hiker had an original series of EPAT/EMTT therapy over 2 years ago in March, 2021 for bilateral knee arthritis came in prior to going on an eight-day hike in the Italian Dolomites with his  37 year old daughter. After his original series he periodically comes back for 1-2 preventive treatments before long hikes of several weeks (i.e., Death Valley, Eastern Sierras, etc.). His knees have remained mostly pain free. Occasionally he will feel them when he is walking downhill. This time he came in for a 1 hour treatment of both knees using the focused and radial shockwave devices for 15 minutes on each knee and then 30 minutes on the high frequency pulsed electromagnetic fields (EMTT) 15 minutes on each knee. He wasn't in pain when he started but it is worth it to him to come in for preventive treatment for an hour ($300/hr, $250/45 min, $200/30 min) before his trip. It is nothing I "twisted his arm " in doing.
 
Comment: It makes sense for "specialty athletes" to do preventive type treatments. Especially when you are 74 years old and have had a condition under control. Yes, you could take ibuprofen or naproxen during his  treks but if you use those medications chronically they can eventually wear the mucus lining off your gut and increase gut permeability increasing the likelihood of more inflammation. This patient knows the cost of the treatment but it is worth it to him to do this prior to doing his passion of hiking.

#3 He Forgot He Had Heel Pain

A 49-year-old crazily busy small business owner came in for a follow up on lifestyle issues who had originally 8 EPAT/EMTT treatments for heel pain and notice his pain was 95% better but hadn't been seen in 2 months. He wanted to get two more weekly treatments to try and get rid of the pain totally. Two months later he comes in and relates all his other physical woes (weight, hypertension, pre-diabetes) and stresses are still there but said he had completely forgotten about his heel because there was absolutely no pain. His blood pressure, weight and blood sugar are not getting better and I am getting after him for these issues.

Comment: This is a case where the problem disappears well after you stop the treatment. It is very common. I tell the patient that the healing process triggered by the EPAT/EMTT therapy continues 10-12 weeks after you stop the treatments. True biological healing takes time. We are speeding up the process with EPAT/EMTT therapy.

#4 "Buzzing" and Burning of the Shoulder, Head and Neck

A 74-year-old female comes in with her husband who is getting shockwave for knee and heel pain and says she has had this buzzing, burning nerve sensation from her shoulder blade up that side of her neck, face and around her left ear. She asked if shockwave would help. I said I'd try EMTT therapy first (pulsed electromagnetic fields). Couldn't hurt. It's a gentler, simpler and a less costly treatment than EPAT and sometimes can help a problem considerably all by itself. At the second treatment she noticed the intensity of this "weirdly" described sensation being definitely better. At her third visit of just EMTT (25 min of pulsed electromagnetic fields, $120) she noted it to be unquestionably less intense but still present.

Comment: We will continue for 6-8 treatments. I am not totally sure what we are treating. If it continues to improve, we'll keep treating. If it gets worse, then we'd do a furthe r workup. EMTT resets the cells ion channels enhancing cell membrane function. It can be used as a standalone. In this case it seemed to "calm or quiet" this "nerve" sensation.

#5 Right Knee Improving and Left Heel Pain/Bone Spur Not.....Yet...

A 74-year-old male with right knee and left heel pain returns after he had 6 weekly treatments on his right knee from 11/29/22-1/9/22 and felt a very positive improvement in pain and swelling reduction. He also took some nutrients for inflammation (Joint Formula, Thorne) and Freedom (blocks inflammation). He also had some serious gut issues which we worked on.  Five months later he wanted to repeat some treatments on his knee. He had also seen a podiatrist who had given him orthotics for his left heel pain which was believed to be a bone spur. His right knee has improved over 3 treatments, but his heel spur pain is the same after 3 treatments.

Comment: There are a few issues with this patient this time around. 1) I don't think his diet is as good. I see some inflammatory skin changes that would indicate his gut may be off again which can increase joint pain. 2) Though he has had improvement in his knee I haven't evaluated it with any types of basics like an Xray and MRI which I think I will do to see what actually is happening inside the knee. Doing treatments at the same time is no problem. The supposed heel spur (pain) hasn't improved in 3 weekly treatments. I also am not sure he is taking the same anti-inflammatory supplements. I am not worried though. It has only been 3 treatments. A bone spur is not going to dissolve in 2-3 weeks. I believe that this will be a case that we'll do 6-8 treatments and lay off for a few months and see greater improvement at 10-12 weeks after we stop the treatments. This patient is also older so metabolic changes make take a bit more time.

#6 Left Heel Pain - Plantar Fasciitis - Resolves Quickly

A 31 year old very fit male who was originally seen on 3/27/23 for left medial heel pain diagnosed by a podiatrist with acute left plantar fasciitis 6-7 months ago came in. He was prescribed a walking boot which he used for 2 months a couple of hours per day. He wore a night brace which helped a little.  He had a job where he walks extensively about 5-6 mile per day for almost the last year. He had tried acupuncture and Bowen therapy (12/22-2/23). The latter helped a lot. He has had two arthroscopic left knee surgeries. He had PRP on his knees 3-4 times with great results in the past. Since late 2021 he has training for special operations for the military but his knees had kept him out of the service.  He has put on 20lbs of muscle in 2 months doing body building. Over the last 2-3 months he has had weekly EPAT/EMTT therapy on his left heel. Since it is a focal, simple area, the left heel, the total treatment session was a half hour each. 15 minutes of EPAT/shockwave therapy with the focused and radial devices and 15 minutes of EMTT where he just lays down and "chills". Many people take a snooze with EMTT. He had 6 weekly treatments over the last 2 months, and he has noticed a dramatic 90% improvement in his heel pain and function. I told him to take 3 weeks off and come back. He said he then said it is about 95% gone with a little heel pain after a long day at working walking. He is sprinting, pushing a weighted sled and is lifting heavy weights and walking 5-6 miles per day at his job. He is preparing to take his entry military performance tests next week of running, swimming, push-ups, pull-ups and sit-ups. We did another treatment today and will do one next week then lay off for month.

Comment: There is a lot of things in favor of this young man getting well fast. 1) He wants it. He wants very badly to get into the military and his heel/plantar fasciitis could get in the way. 2) He works out a lot. He has a body builder type body, and he does a lot of aerobics. 3) He has youth on his side. Young people heel faster and have less prior damage and physiology to overcome. I will see back again in 1 week and then send him out for month or two. There is a little bit of time urgency because of his great desire to get into the military soon to treat him as quickly and completely as possible.

#7 Low Back Pain from Car Accident Plus Caretaking and Grieving...

This is a 61-year-old female who rear-ended someone and there was no release of the airbag but there was no immediate back pain either. Then six weeks later she developed lower lumbar back pain. She was given an MRI by her HMO. Before the MRI was done, she was also put on oral prednisone. There was no benefit. Afterwards the MRI showed an extruded disc at L4-5 on the right side. She decided not to do a spinal injection and "toughed" it out. She was off work for six months. She couldn't sit for a year. Then several months ago she got up suddenly from laying on the floor and she had a flare-up on her right lower lumbar area. Egoscue exercises a half hour daily helped a lot. She's not doing many aerobics. She is a dancer and when she dances that helps her back tremendously (and her spirit). Initially six months ago she did a series of 6 EPAT and EMTT combined treatments then four EMTT only treatments. She was somewhat better after but not dramatically so. She decided to go back and do her back exercises, go dancing, increase her adrenal support and possibly take some low dose SAMe because she was taking care of her mother who had a terminal illness. Four months later she was seen after her mother had passed and she wanted to try another series of treatments and this time I was able to find a location to really focus the shockwave at her left lumbosacral area which for whatever reason I was not able to find in the previous treatment series. There was immediate relief after the first treatment. So, with this in mind I tried to focus on that area around the L4-L5-S1 area on the left side. We are on the third treatment in the second series and she distinctly notes some improvement and reduction in pain in the left lower lumbar area.

Commentary: While there is a distinct location that seems to have brought some immediate improvement in t hat left L4-L5-S1 area I also think that this person's pain is aggravated by going through a long-term caretaking experience with their mother who recently passed of cancer. This is a type of individual that needs adrenal support, energy support and good therapy. Also, I think it is critical for her to continue her dancing and get out there at least two, maybe three nights a week and dance along with some gentle yoga two times a week. I know this person who was a competitive dancer would feel much better in spirit and body if she went out and did one of life's passions more frequently. Backs "love" movement and when done in a kind of controlled dance setting it can very healing and health promoting. Now if she had said, "Every time I dance my back hurts" then I would tell her find some other way to move. But every time I ask her how she feels after dancing she says she feels great (in body and spirit). So that's this health prof essional's prescription for this person. Also, along with time, dancing will help this person’s spirit transition through her mother’s passing. Dance, Egoscue and yoga maybe in conjunction with these regenerative therapies (shockwave therapy and EMTT) along with some simple nutrients (especially adrenal support) and a good diet may go long way in helping this back pain situation resolve or become manageable.

______________________________________________

People can sign up for my Health Letter Here.

If you are interested in shock wave (EPAT/ESWT pulsed sound waves) or EMTT (pulsed magnetic fields) for pain management, stimulating healing and/or for erectile dysfunctions make an appointment as well. You can call and make a 15 minute FREE phone appointment for me to determine if you are a good candidate for shockwave...CALL 916-489-440.

Other areas which I enjoy treating are heart disease and diabetes reversal, weight-loss, fatigue syndromes, memory loss, slowing aging/maintaining independence, hormone imbalances, heavy metal excess, mold illness, gut issues, food intolerances, types of fasting, finding out nutritional deficiencies and correcting them, supportive lifestyle and nutritional therapy (including I.V. vitamin C) during cancer treatment...CALL 916-489-440.

If people would like to make an appointment with me in person or on the phone regarding Covid prevention, treatment and recovery please make an appointment by phone or in office by calling 916-489-4400.

I still recommend variations of "Kirk's 21 Day Program" and different fasting regimens (Prolon and Inflamx) for reversal of heart disease, diabetes and overweight issues. If you have concerns about memory, CIRS (Chronic Inflammatory Response Syndrome), and/or mold illness those are also areas of significant interest and study for me.

Be Well,

Kirk

Kirk Hamilton PA-C
Health Associates Medical Group
3301 Alta Arden, Suite 3
Sacramento, CA 95825
(916) 489-4400 (w)
krhammer@surewest.net
www.KwikerMedical.com
www.HealthyLivingforBusypeople.com
www.StayingHealthyToday.com