Why Add EMSculpt and EMSella to My Practice?

I just added two amazing treatments to our office toolbox: EMSculpt and EMSella. I am so excited about these two treatments.

Why add these to the practice? As a family practitioner who focuses on the treatment of insulin resistance, pre-diabetes, diabetes and obesity, I’ve been looking for safe and effective ways to improve muscle and decrease fat. Ketogenic and carnivorous diets are the most effective way to do this naturally, of course including a good exercise program should be a significant part of these diets. Yet, many of my patients over 40 are already seeing the effects of aging, obesity and muscle decline.

Lack of core strength leads to gait instability, weakness, increased likelihood of falling and breaking a hip. Poor core strength is also a factor in incontinence, erectile dysfunction and poor sexual function.

We know that improving core strength has a very powerful positive effect in reducing these problems. Yet, a significant number of my patients over 65 have a hard time exercising due to arthritis and other diseases.

These are revolutionary devices that simultaneously emit both radiofrequency and high-intensity electromagnetic energies (HIFEM).

The end result is more fat reduction and muscle growth than any single gold-standard product for less time and less money. . . 25% more muscle and 30% reduction in fat on average after just four treatments*.

When used with a ketogenic or carnivorous diet, these treatments are a game changer for getting rid of that last bit of stubborn fat.

In combing EMSculpt for the abdomen and EMSella for the pelvic floor, it creates “core to floor” muscle strengthening and stability that is an amazing and very effective adjunctive treatment to a regular exercise program.

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These treatments are perfect for postpartum mothers, men, elite athletes and women who suffer from incontinence. They are all a perfect fit for this treatment as results include improved strength, balance and posture; alleviated back pain; and improved urinary issues and sexual health in both men and women. When EMSella is used in conjunction with other muscle development devices like Emsculpt, you’re building core strength, posture developments and sexual health improvements for both men and women.

And, although core strength is not something you see, it is something you can definitely feel.

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Call our office for your first treatment today!!


*US FDA clearances:

Your results may vary. You may feel intense heat during the treatment, but it should never be painful. If you experience pain during the treatment, immediately discontinue the treatment and speak with your treatment provider. Treatment should not be applied over scar tissue, or if you have electronic or metal implants. As with any heat-based therapy, burns may result. As with any medical procedure, ask your doctor if the EMSCULPT NEO® procedure is right for you. EMSCULPT NEO® is indicated for non-invasive lipolysis (breakdown of fat) of the abdomen and thighs and reduction in circumference of the abdomen and thighs with Skin Type I to Skin Type VI; and for non-invasive lipolysis (breakdown of fat) of the upper arms limited to skin types II and III and BMI 30 or under. EMSCULPT NEO® is also indicated for improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen; strengthening, toning, and firming of buttocks, thighs, and calves; and improvement of muscle tone and firmness, for strengthening muscles in arms.

A Message to the Unvaccinated

Relentless mental bombing of the citizens of the world and particularly the United States with thought control in the form of propaganda and censorship has been the drive behind the reason so many of my patients have been unvaccinated.   A significant majority in my practice are unvaccinated because the others were mentally conditioned so avoid “quacks” who use “horse de-wormers” as part of their treatment protocol.

Immensely satisfying as it is to help so many people feel better quickly while avoiding hospitalization and death, it has also been very traumatic.  I have listened to hundreds of stories of patients as they relate the events that occurred to them because of their unvaccinated status.   Story after story of job loss, retracted invitations to weddings, seeing newborn grandchildren, baby showers and family reunions, travel restrictions, restrictions from attending concerts, restaurants, movies and even being banned from Christmas with vaccinated family members.   This is only made worse as they have been estranged from church, friends, family and colleagues who disinvited them to holiday gatherings or other work events.

Another source of trauma is the stories from my vaccinated patients who trusted the authorities when they said they are “safe and effective” who honestly tried to do what they were being told is the “right thing” for their community and nation.  The majority of these people have been now been vaccine injured and/or deeply remorseful after they came to discover that the institutions, they trusted has so egregiously lied to them.  I have over 100 in my practice who have suffered blood clots, myocarditis, colitis, fatigue, and neurological damage from their decisions to be vaccinated.  What is even worse, is that many of them have suffered the same discrimination after refusing to accept a 2nd, 3rd, or 4th shot, in light of the 6-18 months of post-COVID syndrome fatigue and myalgia they suffered preventing them from functioning normally in society, some of which are still not back to normal.

A third source of major trauma is the reprimands and reports to medical boards from medical staff, hospital organizations, employer organizations and insurance plans for my use of “off label” treatments of my patients.  The additional threats to my practice and staff made by these groups to which I used to aspire and admire. Traumatic were the hours I had to spend, and still spend today, defending myself and an advocating for my patient’s rights to be completely informed and chose the medical care they wanted.

To the unvaccinated, those of you who were capable of such personality, courage and critical ability, you are undoubtedly the best of humanity. You are everywhere, in all ages, levels of education, states and ideas. You are of a special kind of soul; you are the soldiers that every army of light wants to have in its ranks. You are the parents that every child wants to have and the children that every parent dreams of having. You are beings above the average of your societies, you are the essence of the people who have built all cultures and conquered horizons. These are those who may look normal, but you are the modern day superheroes.

You did what others could not, you were and are the tree that withstood the hurricane of insults, discrimination and social exclusion. And you did it because you thought you were alone, and believed you were the only ones.

Banned from your families’ tables at Christmas, you’ve never seen anything so cruel. You lost your jobs, let your careers sink, had no more money … but you didn’t care. You suffered immeasurable discrimination, denunciation, betrayal and humiliation … but you kept going.

Never before in humanity has there been such a “casting.”  Now we know who are the best on planet Earth. Women, men, old, young, rich, poor, of all races or religions, the unvaccinated, the chosen of the invisible ark, the only ones who managed to resist when everything collapsed.

That’s you, you passed an unimaginable test that many of the toughest Marines, Commandos, Green Berets, astronauts and geniuses could not withstand.

You are made of the stuff of the greatest who ever lived, those heroes born among ordinary men who glow in the dark.

You and I cannot simply hope that this will pass or that someone will save the day.  Do NOT comply.

I am honored to have had the opportunity to meet and know so many who have suffered greatly but endured by sticking to truth, principle and mutual support.  You are indeed, the best of humanity.

Four Types of Intelligence Quotients

According to Psychologists, there are actually Four Types of “Intelligence:”
  1. Intelligence Quotient (IQ)
  2. Emotional Quotient (EQ)
  3. Social Quotient (SQ)
  4. Adversity Quotient (AQ)

Intelligence Quotient (IQ)

This is the original measure of your level of comprehension. You need IQ to solve math and formulas, memorize things, and recall lessons.

Emotional Quotient (EQ)

This is the measure of your ability to maintain peace with others, keep to time, be responsible, be honest, respect boundaries, be humble, genuine and considerate. This comes from correctly formed attachments with parents, grandparents and siblings over time (Read Hold on to Your Kids by Gordon Neufeld)

Social Quotient (SQ)

This is the measure of your ability to build a network of friends, and maintain it over a long period of time. This can only be gained once appropriate interpersonal attachments are formed. 
People that have higher EQ and SQ tend to go further in life than those with a high IQ but low EQ and SQ. Most schools capitalize on improving IQ levels while EQ and SQ are played down. A man of high IQ can end up being employed by a man of high EQ and SQ even though he has an average IQ.
Your EQ represents your Character, while your SQ represents your Charisma.  Give in to habits that will improve these three Qs, especially your EQ and SQ.
Now there is a 4th one, a new paradigm.

Adversity Quotient (AQ)

This is the measure of your ability to go through a rough patch in life, and come out of it without losing your mind. When faced with troubles, AQ determines who will give up, who will abandon their family, and who will consider suicide.  It determines who can maintain a ketogenic or carnivorous lifestyle in the face of family and friends claiming that “eating all that bacon will kill you.”
This is where the previously formed appropriate parental attachments come in to play.  It is where the character was able to individualize. It is where life experience is gained by parents exposing children to other areas of life other than just academics.
Kids should adore manual labor (never use work as a form of punishment), sports, reading and the arts. Develop their IQ, as well as their EQ, SQ and AQ.  They should eventually become multi-faceted human beings, able to do things independently of their parents.
Do not prepare the road for yourself and your children. Prepare your children and yourself for the road.

Cracks in the Armor of Primary Care Medicine

Primary care medicine and the physician’s and providers that provide it are at the breaking point. I’ve provided some of the key points identified in a survey of primary care physicians completed March 1, 2022.

  • 46% of physicians said that primary care is crumbling.
  • 41% said they are mentally and financially fragile.
  • 33% said they have been denied or are over-due serious payment from insurers and health plans.
  • Only 21% of primary care offices are fully staffed.
  • 60% of patient visits take longer due to worsening health of population and exacerbated concerns with delay on access to care during the pandemic.
  • 25% of doctors plan to leave primary care in the next 3 years.
  • 28% of doctors had to limit use of telehealth due to insufficient payment. 
  • Computer literacy is a significant obstacle for 20% of the patients trying to use telehealth.
  • Broadband speed is a significant issue for 20% of patients trying to use telehealth.
  • 36% of physicians state that their burnout is at an all-time high.
  • 53% say that their ability to bounce back and recover from this adversity and burden is severely limited.

“Primary care continues to face a policy emergency regardless of when the COVID-19 public health emergency is rescinded. The findings above continue the ongoing narrative captured in over 35,000 responses to this survey since March 2020. ”

Policymakers, health plans, hospitals and patients alike must respond or watch primary care collapse on their watch.

Do You Lie to Your Doctor?

How truthful are you with your doctor or medical provider? Statistics reflect that many people lie to their doctor. The following points are fascinating and something I have found to be true over the last 22 years of my practice.

  • “I’ve done everything you told me to do, and I still don’t feel any better.”  Recent surveys of patients revel that 39% of patients lie to their doctor about following doctors orders.
  • “I don’t smoke, I rarely drink and I eat a really healthy diet.”  46% of patients lie to their doctor about these issues. 
  • 43% of patients overstate their frequency of their exercise.
  • 29% of patients lie about their sexual history.  Younger male doctors are more likely to be lied to.
  • “I don’t take anything other than a multivitamin.” 21% of patients revealed that they frequently don’t reveal everything (supplements, herbs or other drugs) they are taking. 
  • The most common liars statistically are women, younger people and those with poor health. 
  • 33% of patients won’t tell their doctor they disagree with the treatment being prescribed. 

Besides not following doctor’s orders, the next most common lies involve alcohol consumption (24%), smoking (23%) and use of recreational drugs (22%).

The most common reason why patients lie has nothing to do with feelings of letting down their doctor or an attempt to scam drugs. It’s just simple embarrassment.

Exactly half of survey respondents who admitted lying to a doctor did so out of sheer embarrassment. This was considerably more than the next most common reason of “Too complicated or not worth it to explain,” which 30% of respondents gave as their reason for lying.

But my patients aren’t just lying to me or their doctor, they are lying to themselves. 70% of women and 65% of men report being confident that their doctor does not know when they lie. But there’s one problem for patients who are harboring the truth: lab results.

The panel of labs that I draw tells a very clear story about their diet and lifestyle over the last 3-6 months. Lab work doesn’t lie.

Lying to a doctor can also make it difficult for the physician to make a correct diagnosis.

Misinformation or omission will often cause the physician to search for unrelated disease states or conditions. Being honest with your doctor reduces the time lag from the time of patient presentation to the time he or she can make the correct diagnosis. Honesty also increases the timeliness of obtaining the correct diagnosis and subsequent accurate treatment.

Given the dangers of lying to a doctor, one finding from these results stood out as troubling: 58% of patients who lied to their doctor didn’t believe their lie affected the quality of care they received or the outcome of their appointment.

Any healthy relationship is built on trust, and the doctor-patient dynamic should be no different.

If you see a doctor regularly you’ll create a relationship and an environment where you can be honest. Very few doctors will try to shame you because you’re doing something wrong. If they do, you need to find a new doctor.

If you’re not able to exercise because you’re working two jobs and you’re a caregiver to your mother with Alzheimer’s, I’m not going to shame you for not exercising. I’m not going to criticize you for eating ice cream nightly to cope with the stress. However, tell me these things that so we can find ways for you to successfully reach your health goals in light of the challenges you face and find an effective game plan. Two heads are always better than one.

COVID-19 Vaccine Informed Consent

As of late, Banner Health and Banner Community Integrated Network, in which I participate as a physician, is requiring that I recommend the COVID-19 vaccination to my patients.  In order to be compliant with their requirement and my duty as a physician to “do no harm,” your understanding of the following data is necessary to give you a clear picture of the pros and cons to COVID-19 vaccination.

Please read, contemplate and sign this Informed Consent document before you receive any COVID-19 vaccination or booster.  (A hardcopy of this informed consent is available in our office)

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You have asked for guidance in regards to the health risks and benefits of complying with COVID-19 mRNA experimental vaccination therapy required by your institution or place of employment.  Although this medical intervention and injection does not meet the traditional definition of a vaccine defined by the CDC and published on their website in 2012 (the CDC changed the definition of “vaccine” in 2021 to fit this therapy), the term vaccine will be employed for ease of use in the below.

Note that the long-held (but presently ignored) standard for informed consent requires that I fully disclose the current and accurate data regarding all potential risks, benefits, and alternatives to COVID mRNA vaccination. Note that my interpretation of the below data was done consistent with the long-held (but pandemic-ignored) Federal regulatory standard that considers any adverse event or death reported in temporal association with receipt of a novel and/or experimental therapy to be caused by the intervention until proven otherwise. I recognize this practice departs from the recently adopted, ethically and morally troubling pandemic standard whereby U.S Federal and State Health Agencies’ and hospital systems dismiss adverse event reports as unrelated to the vaccines until proven otherwise.

In the following, I will provide documentation of the informed consent discussion I hold regarding a decision on whether to pursue COVID-19 mRNA vaccination. In the following, I solely rely on the most current, available data regarding:

1) Risks associated with receipt of a COVID mRNA vaccination

2) Efficacy of the COVID-19 mRNA vaccine in preventing illness

2) Efficacy of the COVID-19 mRNA vaccine in preventing transmission

3) Efficacy of the COVID-19 mRNA vaccine in preventing hospitalizations and death

4) Efficacy of the COVID-19 mRNA vaccine compared to the protection offered by natural immunity

5) Efficacy of the COVID-19 mRNA vaccine in the prevention of “long-haul” COVID

6) Risks of a healthy child suffering hospitalization and/or death from COVID

7) Efficacy and safety of alternatives to vaccination (i.e. reliance on effective early, anti-viral, and anti-inflammatory combination therapy)

As is standard in informed consent discussions, I first begin with a review of the risks of COVID-19 mRNA vaccination.

 

1) RISKS ASSOCIATED WITH RECEIVING THE COVID mRNA VACCINE

Based on the below data compiled from peer-reviewed papers, Life Insurance Industry reports, and analyses of the Vaccine Adverse Event Reporting System (VAERS) database, it is my conclusion that a literal humanitarian catastrophe is rolling forward. This resulted from the rapid deployment of barely-tested mRNA vaccines in an illogical attempt to counter a fast-mutating coronavirus. I acknowledge that this assessment contradicts current “medical consensus,” which is that the vaccines are “safe and effective” and that vaccinating against a coronavirus is the dominant public health strategy across much of the world. There are a few reasons which may explain the discord between my personal recommendations and those of health agencies across numerous advanced health economies like the United States.

There is great dissymmetry between the data that I have spent thousands of hours reading over the last two years (many thanks to the painstaking efforts of Dr. Pierre Kori to compile this data here) and analyzed compared to the selective and near uniformly favorable data being disseminated across media, social media, and numerous high-impact scientific journals. One explanation for this discord can be found in recent FOIA-obtained evidence which revealed that $1 billion dollars was paid by the Department of Health and Human Services to U.S media companies to (blindly) support a media campaign to build public confidence in and uptake of COVID-19 mRNA vaccines.

A second contributing factor to the lack of scientific recognition of this catastrophe is that as of this writing, although over 1,650 case reports and small cases series of adverse events have been published in the medical literature, review papers reporting summary analyses of either the toxicity or poor real-world efficacy of the vaccines have been consistently rejected upon submission to medical journals, particularly high-impact ones. In addition to the rejecting of such studies, a number of journals have also illegitimately retracted papers that reported on the scale of adverse events despite those papers having successfully passed expert peer-review. The few published, peer-reviewed summary analyses that reported on either a lack of efficacy or on the excessive risks of the vaccines have generally appeared in lower impact journals that are systematically ignored by media outlets and academia. These have been included below.

In the setting of such widespread media, social media, and scientific journal propaganda/censorship of adverse vaccine data, the following information is unlikely to be known by the average citizen or physician in the United States. I invite any who want to challenge or validate these interpretations and conclusions to more deeply explore the underlying data sources using the hyperlinked references below.

Peer-Reviewed Literature

In this published paper analyzing data from the pivotal clinical trials used to support the novel mRNA vaccines (i.e. Moderna, Pfizer, and Janssen), Classen compared “all cause severe morbidity,” defined as “severe infections with COVID-19 and all other severe adverse events between the treatment arms and control arms respectively.” His analysis found a statically significant increase in all cause severe morbidity occurred in the vaccinated group compared to the placebo group.

In this paper by Walach et al, they calculated the Number Needed to Vaccinate (NNTV) to prevent one death from a large Israeli field study. They then accessed the Adverse Drug Reactions database of the Dutch National Register (Lareb) to extract the number of cases reporting severe side-effects and the number of cases reporting fatal side-effects.

  • They found the NNTV to be between 200 and 700to prevent one case of COVID-19 by Pfizer’s mRNA vaccine product.
  • The NNTV to prevent one death was between 9,000 and 100,000 (95% confidence interval), with 16,000 as a point estimate(as you will see below, for younger healthy people, this estimate would tend to the higher end of a NNTV of 90,000-100,000 to prevent a single death).
  • They calculated that for every 6 deaths prevented by vaccination, there were approximately 4 deaths reported associated with vaccination, yielding a potential risk/benefit ratio of 2:3 (note that deaths are consistently under-reported to such databases, thus a more accurate risk/benefit ratio for death would likely be inverted).
  • They concluded that, “although causality between individual reports of adverse events and vaccination has not been established, these data indicate a lack of clear benefit, which should cause governments to rethink their vaccination policy”.

In this published paper by Jessica Rose, a world-expert analyst of the VAERS database, she found that, based on the ratio of expected severe adverse events to observed adverse events in VAERS for a number of conditions, the “underreporting factor (URF)” for COVID vaccine-associated deaths was 31. Using this URF for all VAERS-classified severe adverse events, as of October 2021, vaccines were associated with 205,809 deaths, 818,462 hospitalizations, 1,830,891 ER visits, 230,113 life-threatening events, 212,691 disabled and 7,998 birth defects.”

This paper by Ronald Kostoff et al was retracted despite passing peer-review. However, in a personal review of the correspondence between the author and Journal Editor, neither I nor my colleagues were able to find a valid criticism of the underlying data analysis or conclusions. Therefore, I have incorporated this valuable study whereby they used a novel, best-case scenario, cost-benefit analysis which showed conservatively that there were five times the number of deaths attributable to each inoculation vs. those attributable to COVID-19 in the most vulnerable 65+ demographic. The risk of death from COVID-19 decreased drastically as age decreases, and the longer-term effects of the inoculations on lower age groups “may increase” their risk-benefit ratio (although this has not been demonstrated to date as can be seen below).

VAERS Data

As of April 22, 2022, in the United States alone 5,309 cases of myocarditis, 782,665 adverse events, 151,796 severe adverse events, and 14,613 deaths have been recorded in the Vaccine Adverse Event Reporting System following COVID-19 vaccination in the USA. It should be appreciated that the VAERS database’s main limitation is that of underreporting, by a factor of at least 30-fold. The most concerning implication of under-reporting is in regards to the exponential increases in actual reports of death after vaccination in the past year compared to prior years of all vaccines combined.

Even more damning is the temporal relationship of these reports to the date of the individual’s vaccination, which some authorities have attempted to dismiss as simply representing “background” deaths. The fact that the reporting of deaths decrease over time from date of vaccination (seen below), infers a worrying causal relationship whereas erroneously reported “background deaths” would instead appear in similar numbers each subsequent day after the date of vaccination.

Statisticians and analysts working with the Vaccine Safety Research Foundation (VSRF) have estimated the total number of deaths in the U.S caused by the COVID-19 vaccines based on the numbers reported to the U.S Vaccine Adverse Event Reporting System. In their white paper, they employed 9 different statistical prediction models and found that as of December of 2021, total deaths associated with the vaccines ranged from 148,000 to 216,000. Using the same methodology for the 14,613 COVID-19 vaccine associated deaths in the U.S reported as of May 16, 2022, the updated point estimate is approximately 599,000 deaths. The data and conclusions from these publications above provide support for identifying the vaccination campaign as the primary cause of the massive increases in Life Insurance claims among working-age Americans beginning in the second half of 2021, as will be detailed below.

Life Insurance Industry Data

Most concerning is a recent report of a large, unexplained rise in U.S life insurance claims amongst working age Americans of ages 18-64 beginning in early to mid-2021, timed with the vaccination campaign rollout. In a press conference, the CEO of One America, the $100 billion Life Insurance giant, publicly stated;

  • what we saw just in third quarter, we’re seeing it continue into fourth quarter, is that death rates are up 40% over what they were pre-pandemic.”
  • “deaths in this age group is 4 times higherthan what would be seen in a “one-in-200-year catastrophe,” and that, “40% is just unheard of.”
  • “every single other insurance company has also reported seeing the same – what’s most worrisome though, is that the biggest increase in excess deaths has come from traditionally healthier working-aged individuals under 65 – and not the elderly, who are the most susceptible to the Covid-19 virus.”
  • “we are seeing, right now, the highest death rates we have seen in the history of this business – [and] not just at OneAmerica, the data is consistent across every player in that business.”

Financial analyst and former Blackrock Managing Director, Edward Dowd, reported similar historic increases in death claims over the same time period from discussions with major U.S life insurance industry executives; 57% for Lincoln National, 41% for Prudential, 32% for Hartford, 24% for MetLife and 21% for RGA.

In line with these data, a publicly available quarterly report by the Group Life Insurance Industry, covering roughly 90% of the employer-based policies, reported on Page 23 that younger age groups were suddenly dying at historically unprecedented rates beginning in Q3 of 2021.

The timing and magnitude of the historic rise in death and disability are also seen in German health insurance claims data and Medicare billing data.

Epidemiologic Data

An article published in the journal Nature reported:

  • increases of over 25% in the number of ambulance calls in response to cardiac arrests (CA) and acute coronary syndromes (ACS or “heart attacks”) for young people people in the 16–39 age group during the COVID-19 vaccination rollout in Israel (January–May, 2021) compared with the same period of time in prior years (2019 and 2020).
  • a robust and statistically significant association between the weekly CA and ACS call counts and the rates of 1st and 2nd vaccine doses administeredto this age group. Note they found no observed statistically significant association between COVID-19 infection rates and the CA and ACS call counts.
  • findings that aligned with previous studies showing that increases in overall CA incidence were not always associated with higher COVID-19 infections rates at a population level, and that the stability of hospitalization rates related to myocardial infarction throughout the initial COVID-19 wave compared to pre-pandemic baselines in Israel.
  • findings that mirrored reports of increased emergency department visits with cardiovascular complaints during the vaccination rollout in Germany as well as increased EMS calls for cardiac incidents in Scotland.

In line with the above, as a result of a FOIA application in the state of Massachusetts, an analysis of the now publicly available death certificate data found that during 2020, the predominant cause of rises in all cause mortality were due to “respiratory causes,” (i.e. excess mortality from COVID-19) while in 2021, the predominant causes were “cardiovascular.” The analyst concluded, “the official Massachusetts database of death certificates contains proof that C19 vaccines killed thousands of people in Massachusetts in 2021.”

Equally alarming are the massive rise in deaths among healthy, young professional athletes from around the world. Since the vaccination campaign was initiated, and as of June 4, 2022, there were approximately 1,090 athletes that suffered a cardiac arrest, with 715 of them dying as a result. The majority of arrests occurred in competition or training. The frequency of these events in comparison to historical data is highly concerning. In a 2009 review of professional athletes deaths, published in a prominent European Cardiology journal, they found that from 1966 to 2004, there was an average of only 29 sudden athlete deaths per year worldwide. Compare this number to just the month of January 2022 alone where 127 collapses and 87 deaths among professional athletes were reported. Overall, these athlete deaths reflect an approximately 22-fold increase in the year after the introduction of COVID vaccines, to date unexplained by other identifiable causes.

On March 10, attorney Matt Staver of Liberty Counsel presented data in court showing 127 VAERS-reported COVID vaccine-related deaths in the military in 2021. That is more than the 93 reported COVID deaths in the military since the beginning of the pandemic. Note that COVID deaths tend to be overestimated, while VAERS-reported deaths, especially in the military, are severely underreported.

The CDC data provided in this article shows the timing of the start and the steady rise in all-cause mortality of working-age adults in the U.S, both overlapping with the start of the mass vaccination campaign. Although alternate causes of this historic rise in death have been considered, (i.e. COVID deaths, deaths of despair etc), the number of deaths from these causes is insufficient to explain the overall rise.

Rises in Disability

Associated with the massive rises in death claims are disability claims. The Bureau of Labor Statistics (BLS) surveys 60k households monthly to estimate the unemployment rate, and in this survey, asks households about disabilities as well. From the BLS data, for Americans over the age of 16:

* After declining in 2020 (and stable for five years prior), in Dec 2020 there were 29.9 million Americans disabled. This is a disability rate of 11.4%.

* At year end 2021, there were 32.4 million Americans disabled. This is an increase of 2.5 million people and a disability rate of 12.4%. This is a record number and record percentage rate.

* As of May 2022 there were 32.7 million Americans disabled. This is an increase of 2.9 million people since Dec 2020, the start of mass vaccinations. This is again a record number and percentage rate.

If you look at the charts below you can see that 1.8 million of the increase came in spring 2021 with another increase in fall 2021.  Given the strong overlap with the broad vaccination campaign in spring of 2021 followed by vaccine mandates in fall of 2021, it is consistent with the vaccine injury hypothesis as detailed in the data above.

 

In particular, the increase of 2.9 million disabled since December of 2020 represents more than 1% of the 263 million Americans over age 16. These Americans were all newly disabled in 2021 from some injurious societal or environmental development or exposure beginning in 2021, and not in 2020. It should be noted that these data reflect only a portion of the extent of injuries occurring given that it is likely that far more Americans suffered less debilitating adverse consequences.

On Feb. 10, the Israeli Health Ministry published the results of a survey of adverse events among roughly 2,000 random Israelis who received booster shots. Although many could be thought of as minor, it is concerning that 51% of the women and 35% of the men who experienced a side effect reported that, as a result, they had difficulty performing daily activities. A total of 4.5% of those who received booster doses reported neurological side effects.

Further, in the documents related to a recent FOIA request, in the Pfizer informed consent document (p. 5) it was revealed that the company recognized the risk of myocarditis to be as high as 1 in 1,000. In 2022, with many fewer vaccines administered compared to 2021, the rate of myocarditis reports to VAERS is averaging 245% higher than last year. The myocarditis is overwhelmingly found in young adults like Grace.

In addition, military whistleblowers leaked data from a Department of Defense database, showing major increases in a large number of diagnoses in 2021 compared to the stable average over the years 2016-2020. They found that in 2021, among military service members, there was a 988% increase in all diseases and injuries, a 218% increase in cancer diagnoses, a 374% increase in female infertility, 221% increase in dysmenorrhea, and a 183% increase in spontaneous abortions, with these latter findings of great concern to the future reproductive health of a young woman like Grace. Later claims by the Department of Defense that the prior year illness frequencies were erroneous and caused by “data corruption during a server migration” is simply not credible given this supposed error was “corrected” only after the whistleblowers reported. Further, these morbidity increases are consistent with all the other data sources presented above.

 

2) EFFICACY IN PREVENTION OF COVID-19

Using up-to-date data (i.e. last 3-6 months to today) from a wide selection of public health sources including the U.S, Denmark, Israel, Australia, and the UK, the current estimate of the protective efficacy from contracting COVID is one of either “negative efficacy” or rapidly waning efficacy such that potential benefits, if any, are demonstrably short-lived. Further, given the above alarming estimates of the real-world risks of the vaccines, the information below is focused on the most conservative data estimates of efficacy to determine “the minimum of what COVID-19 vaccinations can achieve.”  This is base on the fact that you have both natural immunity and a good health status.

It must be acknowledged that accurately interpreting epidiomiologic data to determine the relationship between vaccination status and the risk of contracting COVID is both challenging and complicated given:

1) the unmeasured confounding variables associated with an individual’s vaccination status (i.e. age, co-morbidities, behaviors)

2) the rapidly changing and often inconsistent definitions of what it means to be vaccinated (dependent upon varying numbers of vaccinations during different periods, varied vaccine types and schedules, and varied time windows from last vaccination).

3) the definition of a COVID case (tested, untested, false positive, false negative), the definition of a COVID death (“with COVID” vs. “from COVID,” with the latter likely overestimated due to hospital financial incentives created during the Pandemic).

4) the exclusion from efficacy calculations of the surprisingly large numbers of COVID infections and deaths suffered by the recently vaccinated (i.e. within 14 days of vaccination).

With the above caveats in mind, the best assessment of the below data indicate that vaccinated individuals are more likely to fall ill with the variants now in circulation. This may not have been the case earlier in the global vaccination campaign but is unfortunately the case now. There are several possible explanations for this finding. Chief among them is that the current mRNA vaccines were formulated using the genetic sequences of the original “Wuhan” strain of SARS-CoV2 from over 2 years ago. Given SARS-CoV2 is a highly mutagenic virus, many dozens of variants have since emerged, with several strains exhibiting sudden, multiple, and major pathogenically important mutations, particularly within the original spike protein to which the mRNA sequences are directed.

The major mutations have been “named” and each have many subvariants. The Delta variant phase in the U.S ran from approximately June of 2021 to January 2022, after which the Omicron variant has predominated, and we are currently seeing rising cases from sub-variants of this strain. Omicron deserves mention as it is phylogenetically different from both Delta and the original Wuhan strain. This is likely the most accurate explanation as to why, in the setting of what are now “non-neutralizing” antibodies, this paradoxically makes “Wuhan strain” vaccinated individuals more susceptible as follows;

Stanford researchers found that “prior vaccination with Wuhan-Hu-1-like antigens followed by infection with Alpha or Delta variants gives rise to plasma antibody responses with apparent Wuhan-Hu-1-specific imprinting manifesting as relatively decreased responses to the variant virus epitopes compared with unvaccinated patients infected with those variant viruses.”

From a Public Health England vaccine surveillance report in the U.K., government researchers asserted (p. 23) that their serology tests were underestimating the number of people with prior infection due to recent observations from UK Health Security Agency (UKHSA) surveillance data that “N antibody levels appear to be lower in individuals who acquire infection following 2 doses of vaccination.”

Dr. Paul Offit, Chair of the FDA Vaccine Advisory Board conceded in a letter to the New England Journal of Medicine that there is a real concern of the shots inducing a form of immune suppression known as original antigenic sin.

In this peer-reviewed paper, “Increases in COVID-19 are unrelated to levels of vaccination across 68 countries and 2947 counties in the United States,” they found that at the country-level (and U.S county level), there appears to be no discernable relationship between the percentage of the population fully vaccinated and new COVID-19 cases as seen below. In fact, the rising slope of the relationship in both graphs below suggest that mass vaccination policies may paradoxically lead to more cases, with Israel serving as a worrying outlier.

A study prepared by Humetrix for the Department of Defense called “Project Salus,” monitored 20 million Medicare beneficiaries from January to August of 2021 and found that the vaccinated share of the COVID hospitalizations rose steadily with both vaccines after three to four months and sharply after six months (as the Israelis found). By late July, 71% of all cases and 61% of all hospitalizations were among vaccinated individuals.

More current data from the Walgreens chain of pharmacies finds that in the U.S, over the last several months, fully or partially vaccinated individuals are testing positive at higher relative rates than the unvaccinated.

According to Cornell University’s faculty, an outbreak in December of 2021 which forced the school to switch to online learning was driven exclusively by the vaccinated. “Virtually every case of the Omicron variant to date has been found in fully vaccinated students, a portion of whom had also received a booster shot,” said Vice President for University Relations Joel Malina in a statement.

On December 31, 2021, the UK’s Office of National Statistics released an “Infection Survey” of 1,701 individuals who tested positive for COVID between Nov. 29 and Dec. 12, of whom 115 tested positive for the Omicron variant. The agency found a clear correlation between the number of vaccinations and the likelihood of an Omicron-positive result. The odds ratio of testing positive for Omicron with two vaccinations was 2.26; for the triple-vaccinated, it was 4.45.

According to the latest U.K. health surveillance report, roughly 95% of those over 70 are double-vaccinated and about 90%-93% of the age cohorts over 70 are boosted. Just 1.6% of the senior cases between weeks 7 and 10 of this year were among the unvaccinated, which is below the 5% share of the population they compose. The triple-boosted actually made up 90% of the cases.

The respected Robert Koch Institute reported that among the 4,206 Germans infected with Omicron for whom their vaccination status was known, 95.58% were fully vaccinated. More than a quarter of them had booster shots. Given that the overall background rate for vaccination in Germany is 70%, this suggests an -87% effectiveness rate against Omicron.

As of Dec. 31, 2021, in Denmark, 89.7% of all Omicron cases were among the fully vaccinated with just 8.5% of all cases in Denmark among the unvaccinated, according to the Statens Serum Institut. Overall, 77.9% of Denmark was fully vaccinated at the time, and Omicron is more prevalent among younger people for whom there is a greater unvaccinated pool, which again support a negative efficacy. Even for non-Omicron variants, the unvaccinated composed only 23.7% of the cases.

As mentioned above, assessing the true relationship between vaccinations and the risk of infection must also consider the shocking numbers of COVID infections and deaths occurring during the first 14 days after vaccination. The argument to include these data is supported by the biological plausibility based on the studies presented above finding that the outdated vaccines are inducing an immune suppression favoring infection with newer variants. It is my opinion that these cases and deaths should not be excluded given the below examples (there are many more) of record rises in cases (and deaths) proximate to the start dates of various country-wide vaccination rollouts.

 

The examples below include countries that initiated the most aggressive mass vaccination campaigns in the period from late December, 2020 to January, 2021. Note these countries are from different regions of the globe, however the rollouts were all followed by large increases in cases and deaths.

 

3) EFFICACY IN PROTECTION FROM SEVERE DISEASE

In Ireland, in March of 2022, during the milder Omicron variant wave, there were more people in Irish hospitals than at any point in the previous 12 months. This occurred despite the fact that nearly 95% of all adults in Ireland are fully vaccinated, and nearly 100% of seniors are vaccinated and boosted.

In Scotland, on page 29 of their recent national COVID-19 report, the data revealed that the vaccinated were dying and being hospitalized at higher rates than the unvaccinated. Note that Scotland has since made the decision to no longer publish these comparative data for “concerns that they are being misinterpreted”. Although it is true, as was noted above, that numerous variables beyond vaccination status may contribute to explaining these differences, it is troubling (similar to the Department of Defense actions mentioned above) that the decision to stop publishing these data occurred only after a negative efficacy against severe disease and death was found.

In Israel, the Director of a major hospital recently declared that the fully vaccinated are not protected against severe illness.

NSW Health in New South Wales, the most populated of Australian states at 8.1 million inhabitants, reported that 97 out of 98 COVID-19 deaths occurring over the previous two weeks involved fully vaccinated persons. Moreover, those that had three doses appeared most at risk for hospitalization admission, ICU transfer, and death.

These data are consistent with the recent report published in the New York Times which stated “despite strong levels of vaccination among older people, COVID killed them at vastly higher rates during this winter’s Omicron wave than did last year, preying on long delays since their last shots and the variant’s ability to skirt immune defenses.”  These higher rates of death in the elderly are also seen in the boosted.

The conclusion of a recent Danish study in the prestigious Lancet found that in long-term follow-up of over 74,000 adult participants in the Moderna and Pfizer trials there was no all-cause mortality benefit from the two mRNA shots.

In a recent, large Veterans Administration study, investigators discovered disturbing evidence: by month six after a SARS-CoV-2 infection, beyond the first 30 days of illness, vaccinated persons with breakthrough infections were at higher risk of death (hazard ratio (HR) = 1.75, 95% confidence interval: 1.59,1.93).

The implications of the vaccine’s diminished ability to protect against severe disease among more recent variants is now playing out in real-time. On June 5th, 2022, analyst Igor Chudov posted a 2 country comparison of the current cases and deaths being reported from Portugal and S. Africa, two countries undergoing similar waves of infection from the emerging B4/5 sister variants. South Africa is only 35% vaccinated and 5% boosted whereas Portugal is 95% vaccinated and 70% boosted. These variants are now driving a deadly wave of Covid in highly-vaccinated Portugal, with deaths among the Portuguese nearing their January peak and still rising as seen below.

Thus, in terms of benefits, based on the most up-to-date data, the current crop of mRNA vaccines against Omicron confer either rapidly waning efficacy or negative efficacy, and not only do they no longer protect against severe disease, they appear to be raising the risk of severe disease and death.

I, therefore, would advise extreme caution given that, currently, in the U.S, the prevalence of the B4/5 variant appears to be doubling every week in the past month, now comprising approximately 8% of cases.

 

4) BENEFITS IN REDUCING TRANSMISSION TO OTHERS

Current data do not support this claim. The CDC Director herself has reported that vaccinated individuals are now well known to carry equal or greater viral loads than the unvaccinated, and thus transmit at equal or higher rates, for physiologic reasons detailed above, most concerning being the negative efficacy of the vaccines against Omicron. This has also been reported by seminal nosocomial outbreak papers by Chau et al. (Health care workers (HCW) in Vietnam), the Finland hospital outbreak (spread among HCWs and patients), and the Israel hospital outbreak (spread among HCWs and patients).

A new large study from Quatar in the New England Journal of Medicine by Weil Cornell Medicine found that the Pfizer vaccine protection waned after four months. By seven months, when adjusted for those who already had prior infection, the Pfizer shot was -4% effective against transmission. Also, effectiveness against asymptomatic infection was -33% after seven months, which suggests that the vaccinated become more likely to spread COVID-19 over time.

 

5) BENEFITS IN REDUCING THE RISK OF LONG-HAUL COVID SYNDROME

Again, from the large Veterans Administration study, investigators discovered disturbing evidence: by month six after a SARS-CoV-2 infection, vaccinated persons with breakthrough infections were at higher risk of long COVID (HR = 1.50, 95% CI: 1.46, 1.54). When including the earlier time periods, the COVID-19 vaccines only reduced the risk of long COVID by approximately 15% compared to the unvaccinated, a level of estimated protection far less than the increased risk of death found in the same study as mentioned above.

 

6) BENEFITS OF NATURAL IMMUNITY

Natural immunity provides robust protection, not only from contracting the COVID-19 a second time, but also against hospitalization and death.

The most recent review of data supporting the protection of natural immunity, compiled from over 150 research studies, found that natural immunity provided equal or superior protection against not only contracting the disease, but also against hospitalization and death.

Further, vaccinated individuals are far more likely to get re-infected with COVID compared to those with natural immunity. A new preprint study from Bangladesh found that among 404 people re-infected with COVID, having been vaccinated made someone 2.45 times more likely to get re-infected with a mild infection, 16.1 times more likely to get a moderate infection, and 3.9 times more likely to be re-infected severely, relative to someone with prior infection who was not vaccinated. Although overall re-infections were rare, vaccination was a greater risk factor of re-infection than co-morbidities.

A new study from Harvard, Continued Effectiveness of COVID-19 Vaccination among Urban Healthcare Workers during Delta Variant Predominance, tracked vaccinated and unvaccinated Massachusetts healthcare workers and showed 0 infections in 74,557 person-days for previously infected patients compared to 49 infections out of 830,084 person-days for fully vaccinated patients.

study published in the New England Journal of Medicine assessed a cohort of 1,304 patients meeting a very strict definition of “re-infection.” In this cohort, there were no deaths and no ICU admissions during reinfections while 7 deaths and 28 ICU admissions occurred during the primary infections. Overall, there was a statistically significant 90% reduction in the composite outcome of severe, critical, or fatal disease during reinfections

 

7) BENEFITS OF CURRENT HEALTH STATUS

Those persons of normal body weight and under age 21 youth with an absence of co-morbidities have essentially a near-nil risk of a severe outcome.

This data is based this on data compiled during a prior, more deadly variant where the CDC published a report on the incidence of death from COVID-19 prior to September of 2021 in people less than 21 years of age. At the time of that report, 190,000 deaths from SARS-CoV-2 had been recorded in the general population. Although people less than 21 years of age represent 26% of the population, only 0.08% (121) of all COVID-19 deaths were reported in this age group. In other words, more children died from influenza during the previous epidemic season than from SARS-CoV-2.

Several other observations were of interest:

  • 75% of those under 21 who died had at least one underlying medical condition; 45% had two or more conditions.
  • Minority groups were disproportionately represented among the deaths in young people. Among those who died, 45% were Hispanic, 29% were black, and 4% were American Indian or Alaskan Native persons. Although Hispanic, Black and Native populations represent 41% of the U.S. population less than 21 years of age, these groups accounted for 75% of the deaths.

In July of 2021, Dr. Marty Makary of Johns Hopkins University and Editor in Chief of MedPage today, reported that over the course of the pandemic, 49,000 Americans under the age of 18 had died of all causes, according to the CDC. Only 331 of those deaths were from COVID — less than half as many as that died of pneumonia. The risk of children was dramatically smaller still than that CDC baseline; according to one, much-cited paper, the infection fatality rate for those aged 5 to 9 is less than 0.001 percent. A large new study from the U.K. examining the fatality rate among all those under 18 found it only fractionally higher there — 0.005 percent. Overall, 126,000 Brits have died of COVID since the onset of the pandemic; just 26 of those were under the age of 18.

These data presented above must be further interpreted in the context of the current Omicron variant, a variant with markedly lower risk of leading to hospitalization and and/or death among the unvaccinated.

 

8) ALTERNATIVES TO VACCINATION: EARLY TREATMENT OF COVID-19

The alternative to vaccination would be to ensure provision of early treatment with a select combination from what are now dozens of medicines, nutraceuticals, and therapies with proven efficacy in COVID-19. I am willing to prescribe the medicines that cannot be obtained over-the-counter, however, I must emphasize the need to have this treatment upon first symptoms of any viral syndrome like illness. The importance of early treatment can be seen in the graph below, showing diminishing efficacy of treatment with each day of delay. Note the near 100% efficacy if treatment is started within 24 hours of symptoms.

As of May 2022, massive evidence bases support numerous generic, repurposed drugs with excellent safety profiles that act with either anti-viral, anti-inflammatory, or immunomodulatory properties have been compiled. The medicines shown effective can be seen below. I have circled only those medicines that have received Emergency Use Authorization status by the FDA or recommended by the NIH. Note that these “officially approved” medicines consist solely of novel pharmaceutical industry products that can generate massive profits, an obvious feature of our health care system in the United States. Off-patent, generic or over the counter therapies are not recommended, despite often higher amounts of trials evidence for their use. Note that the grey font indicates medicines with less than 5 trials to support.

Ivermectin has the highest potency amongst the medicines sufficiently studied. Ivermectin’s evidence base now consists of 84 controlled trials, 34 of them randomized, and include a total of 129,000 patients. Summary analyses of the data from these trials find large, statistically significant reductions in time to clinical recovery, time to viral clearance, hospitalizations, and death as seen on the right of the below graphic.

Similarly, hydroxychloroquine has 347 controlled trials which involve almost a half-million patients. The studies show consistent, reproducible reductions in the incidence of all outcomes, particularly when given early, similar to ivermectin.

Nigella Sativa, a widely available “nutraceutical” used in many countries around the world, has also shown repeated, high efficacy as below.

Numerous other medications and compounds have demonstrated efficacy, such as the use of povidone-iodine nasal drops and mouthwashes, as well as medications like fluvoxamine.

The protocol I use can be obtained by calling my office and scheduling an appointment with me or my Nurse Practitioner.

Summary and Recommendations. 

In summary, those patients with a good health status, normal body habitus, and natural immunity to COVID, have a near-nil risk of the most severe outcomes from COVID.

Risks of Long haul or prolonged illness would be further reduced with adoption of almost any early treatment strategy. Further, the totality of current evidence finds either a rapidly waning efficacy in protection against COVID-19 or a rising negative efficacy in protection from both COVID and its more severe outcomes.

Finally, given the highly concerning, excessive rates of adverse events, disabilities, and deaths found in the vaccine trials data and in association with the mass vaccination campaign, it is my professional opinion that the risks of COVID-19 mRNA vaccination for most people, except those over 80 years old with comorbidities, far outweigh the negligible or “adverse” efficacy currently being measured.

Please sign and date below that you have read and understand the risks and benefits of COVID-19 vaccination as it stands to date.

 

 

_____________________________________________     ___________________________

Name                                                                 Date

Infertility after Pfizer Vaccination

I’ve been ridiculed, censured and I’ve been reprimanded recently that I am not strongly supporting vaccination of everyone 6 months old and older with one of the COVID-19 vaccinations. Yet today, even more proof appears in support of my concerns . . . (mind you that it shows up on a weekend when no one in the news cycles will see it).

The Pfizer vaccine decreases male sperm count over 25% for up to six months post vaccination, “but it returns to normal after six months.” That’s the findings this week from Andrology.

Hmmm . . . ? Are we actually sure about that?

Last June in JAMA, we were reassured that two doses of the vaccine are “safe and there was no problem with fertility of any kind.” Any legitimate questions about COVID-19 vaccination affecting fertility were dismissed using the perverse rhetoric of “there’s no evidence” (it’s dependent upon the advocates of a universally distributed medical product to prove it’s safe, not the other way around).

After the publication of the study and positive support from the scientific community, hospital systems, the US Military and medical societies around the country, all male fertility concerns were brushed aside. Anyone who dared question the parameters of the study or the other longer-term effects like increase in associated miscarriage’s was relegated to the status of a conspiracy theorist or quack.

Meanwhile, White House COVID-19 Response Coordinator Dr. Ashish Jha made a contrary statement, saying that vaccines for children down to 6 months or older “have been thoroughly tested. Millions of children above the age of 5 have gotten these vaccines. They’re exceedingly safe,” Jha told CBS News in a June 20 interview.

The CDC last Saturday, June 18th, 2022, signed off on giving both Moderna’s and Pfizer’s COVID-19 mRNA vaccines to infants and children between 6 months and 5 years old. It came after the Food and Drug Administration (FDA) advisory panel unanimously voted to authorize the use of the vaccines.

Jha also said while the majority of children likely have natural immunity, getting the vaccines will help keep children out of the hospital if they get it again.

The White House is echoing the FDA and CDC’s message to get young children vaccinated.

And, yet today, buried in the weekend news, a longer term study find out that these vaccines cause a 25% reduction in sperm counts in males . . .

My concern, and the concern of many others, is the small initial studies on these vaccines only looked at sperm counts before the first dose and 70 days after the second. What happens after two months remained a mystery. What about after a 3rd for 4th booster? What about sperm counts in infant males receiving the vaccination prior to puberty? What about males in puberty an their sperm counts at 1 year, 5 years and 10 years? All of these answers are still a mystery, but a mystery not worth worrying about as we were told.

“Thoroughly tested” is a blatant bold-faced lie.

 If a child or an adult has an adverse reaction to the vaccine, that child’s parents or family could not sue for damages because the emergency use authorization prevents the companies from being held liable.

The vaccines are experimental by definition. A product that’s being used under emergency use [EU] authorization definitionally is investigational. The EU authorization gives these vaccine companies blanket liability protection.

Will reduction in sperm counts be longer than six months? Will reduction in sperm counts be different in those who receive the vaccine as children versus those who receive it as adults? Who knows? Only time will tell. But, the White House, FDA, CDC and most medical societies don’t seem to think that is important.

I remember taking an oath as a physician to, first, do no harm? Yet, I’m a conspiracy theorist for asking the question and not towing the line?

Hormone Pellet Therapy for Men

As we age, testosterone levels drop.   Dr. Nally and his staff are committed to providing relief for men and women suffering from symptoms of hormone deficiency.  Hormone deficiency is a major contributor to fatigue, hair loss, poor sleep, anxiety, weight gain, difficulty with weight loss, decreased libido, vaginal dryness, and painful intimacy.

Dr. Nally has had great success over the years using Bio-Identical Hormone Replacement Pellet Therapy as well as oral/topical treatments.

Utilizing a quick, simple, painless in-office procedure, performed with a local anesthetic, tiny pellets are inserted under the skin allowing the medication to be absorbed over the next 5 to 6 months.

The results are exceptional and many times, more affordable than other treatments.  Both men and women are experience better sleep, clearer thinking and more energy in general.  Additionally, they are enjoying an increase in libido.

What Are Testosterone Pellets?

Testosterone pellets are made of testosterone.  These hormones are identical to those produced in our bodies.  The hormones are pressed into small, solid pellets slightly larger than a grain of rice, but smaller than a Tic-Tac.  These pellets are mad by compounding pharmacists and delivered to our office in sterile glass vials. Because they are mad of natural compounds, the pellets are completely absorbed by the body over 5-6 months.

Why Are Pellets the Best Choice for Testosterone Replacement Therapy?

Unlike creams, pills, and patches, pellets deliver more consistent and healthy levels of hormones into the body. Pellets are absorbed over the course of 5-6 months for men. Pellets are ideal because they avoid the delivery fluctuations experienced with other testosterone replacement methods.

Additionally, these natural hormones don’t increase the risk of blood clots in the same way as synthetic hormones. Pellet therapy maintains an extremely high success rate, even for patients who have tried other systems of hormone therapy with little or no results.

What Are the Effects of Testosterone Pellet Therapy?

Testosterone pellets are used in both men and women, and will increase your lean body mass (strengthening muscles and bone density) and decreases your fat mass.

The most common response from our patients about pellet therapy is that it has restored their quality of life. With Testosterone Replacement Pellet Therapy,, men may experience the following benefits:

  • Improved Energy
  • Improved Vitality
  • Sharpened Brain Function and Memory
  • Reduction in Depression and Anxiety
  • Increase in Motivation and Drive
  • Increased Libido
  • Improved Symptoms of Erectile Dysfunction
  • Increased Fat Loss
  • increase in muscle mass
  • Decreased Blood Pressure
  • Improved Bone Health
  • Reduced Risk for Alzheimer’s Dementia and Other forms of Dementia
  • Reduced Risk for Prostate Cancer

Cost of Pellet Therapy

Male Pellet Therapy insertion costs $699.  The initial and follow up lab work may be covered by your insurance at your covered lab. Through our office the initial basic lab work is $600.  Follow up labs which may be covered by your health insurance through your covered lab, cost $390 in our office.

How Are the Labs Measured Before and During Therapy?

Before testosterone pellets are administered, we’ll draw your blood and send it to the lab for the most comprehensive analysis available. This will allow us to establish baseline testosterone levels in your entire system. We can then determine the optimal testosterone dose on an individual basis. We check the whole hormone profile.

Levels of thyroid hormone may also be checked.

For men, testosterone, prostate specific antigen, estradiol, blood count, and liver profile levels will all be checked. Dr. Nally and his staff test the most accurate levels of all components of the blood. This is not a simple testosterone blood test. And, there is no more comprehensive test that can be used for determining your levels and your dose.

Is Pellet Therapy Covered by Insurance?

Usually, pellet therapy is not covered by health insurance. While other forms of hormone therapy are covered by some insurance companies, pellets are excluded. Because hormone pellets aren’t produced by large, conglomerate pharmaceutical corporations, there isn’t any pressure being put on insurance companies to cover pellet therapy. When copays and deductibles are factored in, most of our patients find pellet therapy to be affordable despite the fact it isn’t covered by insurance. Receiving superior treatment is worth the investment.

What Are the Adverse Side Effects of Pellet Therapy?

Unlike other, less-effective forms of testosterone therapy, there are very few side effects to pellet therapy. Even still, those side effects are transient. You may experience temporary breast discomfort, nipple tenderness, or bloating. Very rarely, a pellet insertion site could become inflamed or come out. Most patients, however, only experience minor bruising at the insertion site.

Because hormone receptors are very sensitive, you may also experience a temporary water weight gain, but it will resolve on its own. Some women (who still have their uterus) will see a return of some menstrual-type bleeding, but this bleeding is easily managed by adjusting the dosage of pellets.

Testosterone stimulates bone marrow and increases production of red blood cells. If hemoglobin and blood count get too high, a unit of blood may need to be donated.

As with any product or procedure, it’s important that you let Dr. Nally and his staff know about any side-effects you might be experiencing during the process.

What is the Recovery or Downtime after Pellet Insertion?

After pellet insertion, any vigorous physical activity should be avoided for up to 5-7 days in men. Early physical activity can be a cause for pellet “extrusion,” the pellet working its way out of the insertion site. Remember, pellet insertion only occurs 2 times per year.

Why Haven’t You Called Me About My Labs Yet?

The pipes in Rome were slowly killing the people.  No one knew lead in the pipes was actually poisonous.

Today, it’s quite easy to scoff at their ignorance.  Yet, each of us have our own lead pipes, those modern “marvels” that future generations will shake their heads at.  We have at our fingertips inventions and practices later proven to be catastrophic to our health and well-being.

It’s one thing to learn about these blind spots after the fact.  What if you knew in REAL-TIME what was happening?

What if you had secret knowledge about your OWN lead pipes . . . ?

What if you were among a small group who knew which of our modern inventions and practices were slowly killing our health and vitality . . . would you still turn a blind eye?

Or, would you make the simple change that set you free?

After reading the following two articles, I now understand why I must spend 17-18 hours a day working to keep up.

I thought that maybe it was just me.  However, this study published in the Annals of Internal Medicine found that during a typical office day, just a quarter (27 percent) of a physician’s day is spent having direct face time with patients – while nearly half (49.2 percent) of a physician’s day is spent on EHRs and other administrative work. This roughly translates into two hours of additional time spent on EHRs and desk work for every hour physicians spend face-to-face with patients.

Over the years, we’ve hired more staff and I now have six and a half staff members to every provider. It’s taken part of the burden of time off of our shoulders, yet, in an era of rising inflation, hiring more staff isn’t affordable.  It’s not a sustainable model financially.

This second study found that with an average primary care practice responsible for roughly 2,300 patients, doctors would need to spend 21.7 hours of patient interaction per day to provide “all the recommended acute, chronic and preventive care” for a panel of this size.  The average internist has 3000-4000 patients in their panels.  There literally are not enough hours in the day to take care of all the office tasks required for a panel size of 2000 patients or more.

It has become physically impossible to do what is now required on treating acute, chronic and preventative care for the patients that we see day to day in the primary care setting. The inability to fully meet patient needs due to factors outside of their control results in frustrated patients and very frustrated physicians who lose sight of why they decided to practice medicine in the first place. This can leave physicians feeling depressed, cynical and suicidal, pushing them to contemplate early retirement, search for other practice options, quit medicine altogether – or worse, take their own life.

This has created the general feeling and perception in the mind of patients across the country that physicians just don’t care, they don’t have time for me and “they just want my copay.”

It isn’t that we don’t care.  If I didn’t care, I would have quit practicing medicine 15 years ago.  I love the practice of medicine.  It is the immense burden of documentation, the paper work, the seven page FMLA forms, and the thousands of ancillary treatment plan reviews & signatures, the providing proof of performance to Medicare and payors required every day that makes it so very hard to complete lab reviews, refills and callbacks in a timely manner.

I haven’t taken a real vacation in 15 years.  Who has time?!

Today, mounting evidence shows that the day-in-day-out pressures experienced by primary care physicians – caused by long hours, excessive fatigue and the sheer emotional toll of the work – can lead to burnout, depression and suicide. Sadly, the medical profession has among the highest risk of death by suicide compared to other occupations in countries around the globe. Recent studies reveal the concerning rate at which primary care doctors feel as though their personal lives are negatively affected by work, feel stressed at work and wish that they had more time to do more for their own health. When it comes to patient care, physician burnout is associated with higher rates of self-reported medical error, substandard patient care, longer recovery time and lower patient satisfaction. Layer on top of the burnout syndrome what some are describing as “moral injury,” the distress weighing on physicians because the business of medicine has overtaken the doctor-patient relationship. And for some, it seems that practicing medicine is literally killing physicians.

To regain control over their practice and personal lives, some primary care physicians are leaving the profession and others are taking steps to deal with work-related emotional exhaustion and chronic over-stress. Over the years, I’ve inherited a number of patients who’s doctors have left practice or moved to concierge models.

I’ve offered concierge services to my patients for years, but few patients have shown much interest up to this point.

Does one just leave medicine altogether?

Maybe.

References:

  1. Sinsky C., Colligan L., Li L., Prgomet M., Reynolds S., Goeders L., et al., “Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties,” December 2016, (Accessed online June 21, 2022)
  2. Altschuler, Justin et al., “Estimating a Reasonable Patient Panel Size for Primary Care Physicians with Team-Based Task Delegation,” 2012, (Accessed online June 21, 2022)

Every American Parent Needs To Hear This

Today during the Senate Health Committee Hearing, Senator Rand Paul noted that the current administration and CDC recommends that everyone over age five get vaccinated against the coronavirus, including taking a booster shot. “Are you aware of any studies that show reduction in hospitalization or death for children who take a booster?” Paul asked.

“Right now, there’s not enough data that has been accumulated, Senator Paul, to indicate that that’s the case,” Fauci answered.

To be fair, the CDC, the FDA, medical societies (including AAFP and ACP) and many health systems around the country recommend COVID-19 vaccination to those 6 months and older. These recommendation are all based upon the CDC and FDA data. These recommendation come in light of the fact that “there is not enough data to indicate children should be taking a booster.”

If you are a patient, parent or grandparent, please take seven minutes and watch this set of questions closely. Your health and the health of your children depends on it.

I have been criticized by my medical colleagues and specialists, about holding these concerns regarding the risks of COVID-19 vaccination. Yet, I’ve had over twenty patients with significant adverse and life threatening reactions in my office due to the vaccine. As a physician, my first duty is to do no harm. Yet, I am being threatened on all sides because I don’t just roll over and lend my support to this vaccine. I am told that my concern about the CDC vaccination recommendations for children are unfounded.

My concern about these vaccines is identical to that of Senator Rand Paul’s. Namely, there are no actual medical studies that COVID vaccination for children and those under age 24 years old are at risk of death or hospitalization warranting a booster vaccine, especially a vaccine that comes with significant health risks.

When 75% of the U.S. population has already had COVID and has antibodies from the exposure and/or infection, there is NO legitimate medical reason to vaccinate this age group. As of today, the Director of the NIH, Dr. Anthony Fauci himself, cannot give legitimate reason for vaccinating this age group. Yet he and the CDC have approved these vaccines and recommend that children be fully vaccinated.

Living With Pandemics and Potential Nuclear Warfare

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[Adapted from “On Living In An Atomic Age (1948), by C.S. Lewis]

Too many of us spend way too much time thinking about the global pandemic, economic collapse and nuclear war.

“How are we to live in this era of nuclear threat, escalating inflation and rampant viruses?”

I am often tempted to reply, “The same way you would have lived in the early twentieth century when the great depression hit, or like you would have lived in the sixteenth century when the plague visited London almost every year, or as you would have lived in a Viking age when raiders from Scandinavia might land and cut your throat any night; or indeed, as you are already living in an age of cancer, an age of tuberculosis, an age of paralyzing polio, an age of syphilis, an age of air raids, and age of railway accidents or an age of motor vehicle accidents.

In other words, don’t begin by exaggerating the novelty of our situation. Believe me, you and everyone you love have already been sentenced to death before the threat of viral pandemics or nuclear warfare was ever invented: and a high percentage of use were going to die in unpleasant ways.  You and I have a great advantage over our ancestors – antibiotics and anesthetics – to this day we still have them.

It is perfectly ridiculous to go whimpering about the day with long drawn faces because the great scientists of our time have added one more chance of a painful and premature death to a world which already bristled with such chances and in which death itself was not a chance at all, but a certainty.  None of us get out of this alive.  None.  Not one.

My first point in this monologue is that you and I must pull ourselves together.  If we are all going to be destroyed by a virus, skyrocketing inflation or a nuclear bomb, then let that destruction, when it comes, find us doing sensible human things like praying, working, teaching, reading, listening to music, bathing the children, playing golf (scratch that – I hate golf), chatting to our friends over a pint and a game of chess or darts – not huddled together like frightened sheep, thinking about viruses or nuclear warfare or gasoline prices.  They may break our bodies (in my experience, any microbe can do that) but, they need not dominate our minds.

“But,” you will reply, “it is not death – not even painful and premature death – that we are all hot and bothered about.  Of course, the chance of that is not a new thing.  What is new is that the virus or the bomb or climate change may finally and totally destroy civilization itself.  The lights may be put out forever.”

This brings us much nearer to the real point.  Let me try to make clear exactly what I think that point is.  What were your views about the ultimate future of civilization before the pandemic appeared on the scene? What did you think all this effort of humanity was to come to in the end?   The real answer is clear to almost everyone who has even a smidgeon of scientific background; yet, oddly enough, it is hardly ever mentioned.  And the real answer (almost beyond doubt) is that with or without viruses, nuclear warfare and economic collapses the whole story is going to end in NOTHING.

The astronomers hold out no hope that this plant is going to be permanently inhabitable. The physicists hold out no hope that organic life is going to be a permanent possibility in any part of the material universe. Not only this earth, but the whole show, all the suns of space, are to run down. Nature is a sinking ship, and we are but passengers.

Nature does not, in the long run, favor life. If Nature is all that exists — in other words, if there is no God, and no after-life of some sort somewhere outside Nature — then all stories will end in the same way: in a universe from which all life is banished without any possibility of return. It will have been an accidental flicker, and there will be no one even to remember it.

No doubt a nuclear bomb may cut its duration on this present planet shorter that it might have been; but the whole thing, even if it lasted for billions of years, must be so infinitesimally short in relation to the oceans of dead time which preceded and follow it that I really feel no excitement about its curtailment.

What the wars and the weather and the pandemic have really done is to remind us forcibly of the sort of world we are living in and which, during the prosperous periods before 1914 and 2021, we began to forget.  And, in reality, this reminder is actually a good thing.  We have been awakened from a pretty dream, and now we can begin to talk about reality.

We see at once (when we have been waked, no “woke”) that the important question is not whether a virus or a nuclear weapon is going to obliterate our “civilization.” The important question is whether “Nature” — the thing studied by the sciences – is the only thing in existence? Because if you answer yes to the second question, then the first question only amounts to asking whether the inevitable frustration of all human activities may be hurried on by our own action instead of occurring at its own natural time. That is, of course, a question that concerns us very much.

Even on a leaking ship that is known to certainly sink sooner or later, the news that the boiler might blow up now would not be heard with indifference by anyone.  But those who knew the ship was sinking in any case would not, I think, be quite so desperately excited as those who had forgotten this fact, and were vaguely imagining that it might arrive somewhere.

It is, then, on this second question that you and I really need to make up our minds.

Let us begin by supposing that Nature is all that exists. Let us suppose that nothing ever has existed or ever will exist before or after except this meaningless play of atoms in space and time: that by a series of hundredth changes it has (regrettably) produced things like — conscious beings who now know that their own consciousness is an accidental result of the whole meaningless process and is therefore itself meaningless – though to us, it feels quite significant.

In this situation (in which the Oxford Handbook estimates 25-50% of civilized countries seems to believe is the present reality), there are really only three avenues of action:

(1) You might commit suicide. Nature which has blindly & accidentally given me for my torment this consciousness which demands meaning and value in a universe that offers neither, has luckily also given me the means of getting rid of it. I return the unwelcome gift. I will be fooled no longer.  (I do not recommend this avenue.)

(2) You might decide simply to have as good a time as possible. The universe is a universe of nonsense, but since you are here, grab what you can. Unfortunately, however, there is on these terms, with inflation and gasoline prices so high so very little left to grab — only the coarsest sensual pleasures is really left. You can’t, except in the lowest animal sense, be in love with a girl if you know (and keep on remembering) that all the beauties both of her person, and of her character, are a momentary and accidental pattern produced by the collision of atoms, and that your own response to them is only a sort of psychic phosphorescence arising from the behavior of your genes.

You can’t go on getting any very serious pleasure from music if you know and remember that its air of significance is a pure illusion, that you like it only because your nervous system is irrationally conditioned to like it.

You may still, in the lowest sense, have a “good time”; but just in so far as it becomes very good, just in so far as it ever threatens to push you on from cold sensuality into real warmth and enthusiasm and joy, so far you will be forced to feel the hopeless disharmony between your own emotions and the universe in which you really live.

3) You may defy the universe. You may say, “Let Nature be irrational, I am not. Let it be merciless, I will have mercy. By whatever curious chance it has produced me, now that I am here, I will live according to human values. I know the universe will win in the end, but what is that to me? I will go down fighting. Amid all this wastefulness I will persevere; amid all this competition, I will make sacrifices. Be damned to the universe!”

I suppose that most of us, in fact, while remain materialists, adopt a more or less uneasy alternate position between the second and the third attitude. And although the third is incomparably the better (it is, for instance, much more likely to “preserve civilization”), both really end up shipwrecked on the same rock. That rock — disharmony between our own hearts and Nature — the is obvious in the second. The third seems to avoid the rock by accepting disharmony from the outset and defying it. Yet, it won’t really work. In it, you hold up your own human standards against the idiocy of the universe.

That is, we talk as if our own standards were something outside the universe which can be contrasted with it; as if we could judge the universe by some standard borrowed from another supposed realistic source). But if Nature — in the space–time–matter system — is the only thing in existence, then of course there can be no other source for our standards. They must, like everything else, be the unintended and meaningless outcome of blind forces. Far from being a light from beyond Nature whereby Nature can be judged, they become the only the way in which anthropoids of our species feel when the atoms under our own skulls get into certain states — those states being produced by causes quite irrational, unhuman, and non-moral. Thus, the very ground on which we defy Nature crumbles under our feet. The standard we are applying is tainted at the source. If our standards are derived from this meaningless universe they must be as meaningless as Nature.

For most modern people, thoughts of this kind must be thought through before the opposite view can even get a fair hearing. All Naturalism leads us to this in the end — to a quite final and hopeless discord between what our minds claim to be and what they really must be if Naturalism is true. They claim to be spirit; that is, to be reason, perceiving universal intellectual principles and universal moral laws and possessing free will. But if Naturalism is true, they must in reality be merely arrangements of atoms in skulls, coming about by irrational causation. We never think a thought because it i s true, only because blind Nature forces us to think it. We never do an act because it is right, only because blind Nature forces us to do it. It is when one has faced this preposterous conclusion that one is at last ready to listen to the voice that whispers: “But suppose we really are spirits? Suppose we are not the offspring of Nature . . ?”

For, really, the naturalistic conclusion is unbelievable. For one thing, it is only through trusting our own minds that we have come to know Nature itself. If Nature when fully known seems to teach us (that is – if the sciences teach us) that our own minds are chance arrangements of atoms, then there must have been some mistake; for if that were so, then the sciences themselves would be chance arrangements of atoms and we should have no reason for believing in them.

There is only one way to avoid this deadlock. We must go back to a much earlier view. We must simply accept it that we are spirits, free and rational beings, at present inhabiting an irrational universe, and must draw the conclusion that we are not derived from it. We are strangers here. We come from somewhere else. Nature is not the only thing that exists. There is “another world,” and that is where we come from. And that explains why we do not feel at home here.

A fish feels at home in the water. If we “belonged here” we should feel at home here. All that we say about “Nature,” about death and time and mutability, all our half-amused, half-bashful attitude to our own bodies, is inexplicable on the theory that we are simply natural creatures. If this world is the only world, how did we come to find its laws either so dreadful or so comic? If there is no straight line elsewhere, how did we discover that Nature’s line is crooked?

But what, then, is Nature, and how do we come to be imprisoned in a system so alien to us?

Oddly enough, the question becomes much less sinister the moment one realizes that Nature is not the end all be all. Mistaken for our mother, she is terrifying and even abominable. But if she is only our sister — if she and we have a common Creator — if she is our sparring partner — then the situation suddenly becomes quite tolerable.

Perhaps we are not here as prisoners but as colonists: only consider what we have done already to the dog, the horse, or the daffodil. Nature is indeed a rough playfellow. There are elements of evil in her. To explain all that would carry us far back: I should have to speak of Power and Principalities and all that would seem to the modern reader most mythological. This is not the place, nor do these questions come first.

It is enough to say here that Nature, in her different way, is much alienated from her Creator, though in her, as in us, gleams and rays of the old beauty remain. Yet, they are there not to be worshipped, but to be enjoyed. She has nothing to teach us. It is our business to live by our own law, not by hers: to follow, in private or in public life, the law of love and temperance even when they seem to be suicidal, and not the law of competition and grab, even when they seem to be necessary to our survival. For it is part of our spiritual law never to put survival first: not even the survival of our species. We must resolutely train ourselves to feel that the survival of Man on this Earth, much more of our own nation or culture of class, is not worth having unless it can be had by honorable and merciful means.

The sacrifice is not so great as it seems. Nothing is more likely to destroy a species or a nation than a determination to survive at all costs. Those who care for something else more than civilization are the only people by whom civilization is at all likely to be preserved. Those who want Heaven must have served Earth best. Those who love Man less than God do most for Man.

African Viruses, Flying Monkeys and Monkeypox – Should I Be Worried?

I’ve had at least 15 people ask me about monkeypox today.  So, let me tell you what we actually know and allay your fears of flesh falling off your body and flying monkey nightmares like the Wizard of Oz gone rogue.

Researchers who love a good mystery, have been keeping watch on the appearance of the monkeypox virus that has occurred in a number of countries around the globe.   This outbreak appears to be human to human contact predominantly in the homosexual population.  As of last Friday, May 20, 2022, only twenty cases have been confirmed or are under investigation in the U.S. (Massachusetts and New York), U.K., Spain, Portugal, France, Canada, Sweden, and Italy.

Not all of those infected traveled to West or Central Africa where the disease is most common.  It can jump to people from contact with animals. As was the case in 2003 when 47 humans were infected by pet prairie dog contact that were housed near animals imported from Ghana.

Transmission:

Monkeypox is not easily spread from human to human, unless it occurs in direct contact with body fluids or open lesions contaminating clothing or bedding.  However, it is possible for respiratory droplet transmission based on the data we have.  For droplet transmission, prolonged face-to-face contact may be required for transmission to occur (eg, within a six-foot radius for ≥3 hours).

Incubation:

The incubation phase of the virus is usually 7-14 days from the time of exposure, however, there have been cases ranging 5-21 days.  Persons with a history of an animal bite or scratch may have a shorter incubation period than those with tactile exposures.

Symptoms:

The first symptoms to appear are flu-like symptoms, including fever, aches, and fatigue. Monkeypox infection will also involves swelling of the lymph nodes that will occur once the infection begins. In 2003, with illness in the 47 subjects that were evaluated, the predominant signs and symptoms were:

  • Rash (97 percent)
  • Fever (85 percent)
  • Chills (71 percent)
  • Enlarged lymph nodes (71 percent)
  • Headache (65 percent)
  • Body aches(56 percent)

Then, typically 1 to 3 days later — though sometimes longer – a maculopapular rash occurs that, then, evolved into vesicles, then pustules, which eventually crusted within a two- to three-week period. It often starts on the face before spreading to other parts of the body.

(http://www.uptodate.com/contents/monkeypox)

Illness typically lasts about 2 to 4 weeks.

Fatality Rate:

While the Congo Basin strain of monkey pox is thought to have a fatality rate of 10%, the West African strain — which was confirmed in the U.K. outbreak — has a fatality rate of about 1%.

Treatments:

There’s no proven treatment for monkeypox specifically, but the smallpox vaccine, newer antivirals, and vaccinia immune globulin can be used to help slow it down and prevent severity of infection.

The smallpox vaccine Jynneos (also known as Imvamune or Imvanex) is indicated for monkeypox. It’s an attenuated, live-virus vaccine incapable of replicating in the human body.

The federal government also reportedly has a stockpile of other smallpox virus vaccines that can be used. It is thought that people who received the small pox vaccine likely still have some immunity.

While there are no proven antivirals specific to monkey pox, cidofovir and brincidofovir may be used. According to the CDC, some in vitro and animal studies of these compounds have shown activity against poxviruses in general.

Another drug, tecovirimat (Tpoxx), is FDA approved for treating smallpox in an oral and now intravenous form. In the EU, tecovirimat is now indicated for monkey pox and is the treatment of choice by most physicians. It has been shown in animal studies to be effective in treating orthopoxvirus-induced disease, and human trials involving healthy subjects indicated the drug was safe and well tolerated with only minor side effects.

Needless to say, I’m not worried, and you shouldn’t be either.

The Coddling of the American Mind: The Catalyst for the Anxiety Overwhelming Us Today

I have seen dramatic increases in anxiety, fear and depression in my practice over the last 20 years. I keep asking myself why. My amazing wife shared this video with me and I think Jonathan Haidt has the answer. (Thanks, Tiffini!!)

Watch the video below.

Are we being too protective of our kids as parents today? Do we let our kids do all the things we did as kids? Are we stifling childhood discovery and independence, even though we have the best intentions?

Jonathan Haidt is a social psychologist and Professor of Ethical Leadership at New York University Stern School of Business who has written multiple books exploring morality and society. In 2018, he authored the book “The Coddling of the American Mind: How Good Intentions and Bad Ideas Are Setting Up a Generation for Failure,” which delves into how overprotective parenting is leading to more harm than good, especially on college campuses. Jonathan has many thoughts on what parents can be doing to support students, without focusing only on their safety. Here are the Top 5 lessons we learned about being antifragile from Jonathan Haidt.

YouTube player

Dr. Nally’s Dementia Protocol

My medical practice is located between the Sun Cities, the beautiful retirement communities on the North West side of the Phoenix Valley.  Over the years my practice has grown with a predominantly large number of patients over 55 years old.  It is a wonderfully diverse group of very dynamic and intelligent people.  Yet, something that has bothered me for many years is the significant risk these patients have for dementia.  One of the most disturbing parts of my job, over the 22 years of my practice, is to see these vibrant patients’ progress down the road to Alzheimer’s dementia. 

To date, there have been over 400 failed clinical drug trials for the treatment of Alzheimer’s Dementia and only a few drugs that showed any mild success at slowing the progression of the dementia. The current medical literature estimates that 30% of these patients will die of Alzheimer’s type dementia.  This statistic has played out in my practice until I started applying the principles of correct diet and lifestyle modification. 

Four Stages of Dementia

There are four stages or phases of dementia that start 20 years before a person ever reaches the diagnosis of dementia. That is important, because this disease can be stopped in it’s tracks:

  • Phase 1 – asymptomatic – abnormal CSF and abnormal PET scans.
  • Phase 2 – Subjective cognitive changes (may last 10 years), symptoms without abnormal cognitive testing. 
  • Phase 3 – MCI – (Mild cognitive impairment) – abnormal cognitive testing, normal activities of daily living (ADLs), 5-10% convert to dementia each year
  • Phase 4 – Final phase of Alzheimer’s disease, ADL’s affected, diagnosis made 20 years after initial biochemical changes.

I’ve been closely following Dr. Dale Bredesen and his protocols in treating and preventing dementia.   To my delight, the following protocols have been very effective at delaying, preventing and actually reversing dementia in my patients.

So, to help you, I’ve written out my protocol (adapted from Dr. Bredesen’s protocol) for dementia treatment and prevention below.

Fat Burning

First, burning fat is crucial. The brain can use two fuels, glucose and fat, but it works better on fat.  Alzheimer’s is associated with a decrease in glucose utilization. A three-pronged approach to begin burning fat includes:

Addressing Insulin Sensitivity

I cannot emphasize this enough. Controlling blood sugar and insulin excess is foundational. Abnormal insulin production dramatically effects the thyroid and all of the sex hormones. Restoring function of the pancreas through diet and the use of Berberine 500 mg twice daily.  If you are diabetic, tight control of blood sugar and using appropriate medications that do not stimulate over production of insulin is essential.

Insulin resistance must be improved (lowering fasting insulin to < 5 ng/dL) and restoring the normal insulin sensitivity is key. This can take up to two years to improve with the correct diet.  Insulin at the correct levels is a key growth factor for neurons.

Insulin sensitivity can be restored by the following:

Health Support

Third, it is important to optimize all nutrient, hormone, and trophic (growth factor) support. This support means we can create resilience, optimize our immune systems, support our mitochondria, and begin to rebuild our brains’ synaptic networks.

Low levels of trophic factors (growth factors) such as vitamin B1 (thiamine), vitamin B12, vitamin D, testosterone, estrogen, and nerve growth factor are all associated with cognitive decline.

Other necessary nutrients for optimal cognitive function include vitamin C, vitamin E, vitamin K2, omega-3 fats, choline, and other neurotransmitter precursors, key metals such as zinc, magnesium, copper, and selenium.

Optimum hormone levels are critical for making and maintaining synapses. Optimal nutrition and lifestyle will lead to optimal hormone production for many of us. Ketones from the diet or used exogenously have been powerfully helpful.

However, other patients will need to support optimal brain function by achieving the healthiest levels of thyroid, pregnenolone, estradiol, progesterone, testosterone, DHEA, and cortisol. These are checked through your doctor and are levels that I monitor every 3-6 months with my patients.

Reducing Inflammation

Fourth, we want to optimize the way the body uses inflammation. It’s important to allow the body to increase inflammation when it’s actually necessary, but also to resolve inflammation when it’s no longer needed. 

Dr. Nally emphasizes minimizing inflammation without a purpose, which is often referred to as “chronic inflammation.” Amyloids often associated with Alzheimer’s disease are part of our body’s inflammatory response. 

Leaky gut is the most common cause of chronic inflammation. This can be caused by:

  • Stress
  • Alcohol
  • Excessive sugar intake 
  • Processed foods
  • Aspirin and related anti-inflammatories
  • Soft drinks with the crappy sweeteners
  • Excessive use of  Proton Pump Inhibitors (PPIs) (used to treat reflux or heartburn)
  • Other damaging agents

We need to know the status of our gut health.

Chronic inflammation with or without a leaky gut may also be caused by periodontitis, gingivitis from suboptimal dentition, or an infection of a root canal in your mouth.

In fact, chronic periodontitis, an inflammatory condition of the gums, may be a direct link to Alzheimer’s disease.

Other causes include chronic sinus infections, or ongoing infection with pathogens such as Borrelia, or metabolic syndrome (insulin resistance, high blood pressure, high triglycerides, and inflammation, often accompanied by obesity).

There are also cases of chronic inflammation due to ongoing exposure to air pollution or mold toxins. Determining the root cause of inflammation is just the first step.

Next, the inflammatory agent or cause should be removed. Once that’s resolved, preventing further inflammation is essential. Several excellent anti-inflammatory alternatives to drugs (NSAIDs) include curcumin, fish oil or krill oil (omega-3 fats), ginger, and cinnamon.

Treating Pathogens

Fifth, we must treat chronic pathogens. Chronic undiagnosed infection can be a contributing factor in cognitive decline. It needs to be identified and targeted. We all live with more than a thousand different species of microbes.

Even the brain may harbor bacteria, viruses, spiral bacteria, fungi, or parasites. Our brain’s protective response to these pathogens causes the very changes we call Alzheimer’s disease. The goal here is to reach and maintain a balance of these microbes.

Addressing Toxin Exposure

Sixth, we emphasize the need to identify and remove toxins. Metals such as mercury, organics like toluene and benzene, and biotoxins like mold toxins (mycotoxins) can lead directly or indirectly to cognitive decline.

Optimizing Sleep

Dr Nally’s Protocol necessitates ruling out sleep disorders and optimize sleep. The amount of oxygen saturation in our blood as we sleep can plummet, which affects our brain’s optimum functioning. Oxygen saturation can be a significant contributor to cognitive decline.

Thankfully, it’s also easily addressed. A dental device APAP or CPAP device can improve oxygen intake through the night. On the other hand, simply reducing inflammation or weight can improve many people’s oxygen saturation and cognition.

That’s why it’s necessary to have a personalized program implemented by a qualified practitioner based on individual lab and other testing results. 

Identifying and targeting the various contributing factors, even down to genetics, with a plan for removalresilience, and rebuilding can tip the scale in preventing and even reversing Alzheimer’s disease. Early identification and treatment show the greatest promise.

This protocol is based on 40 years of research and the Amyloid Hypothesis, which has found that beta-amyloid accumulates and finds its way into synaptic clefts. This protein interferes with synaptic communication. 

The amyloid then collects, forming plaques that activate enzymes. This leads to the formation of neurofibrillary tangles (NFTs) inside the neuron. NFT formation activates immune cells called microglia surrounding plaques, promoting microglial activation and local inflammatory response and contributing to neurotoxicity.

The Six Alzheimer’s Subtypes Identified by Dr. Bredesen

  • Type 1 Alzheimer’s disease is inflammatory, or hot
    • Ongoing or chronic inflammation puts you at greater risk for developing Alzheimer’s
  • Type 2 Alzheimer’s disease is atrophic, or cold
    • Sub-optimal levels of nutrients, hormones, trophic factors (cell growth factors like NCF, nerve growth factor) increases your risk for Alzheimer’s disease.
  • Type 1.5 Alzheimer’s disease is glycotoxic, or sweet
    • High blood sugar or high fasting insulin levels increase your risk for Alzheimer’s disease. It is termed Type 1.5 because it has features of both Type 1 and Type 2. High cholesterol may also come into play.
  • Type 3 Alzheimer’s disease is toxic, or vile
    • Exposure to toxins such as mercury, toluene, or mycotoxins (made by certain types of mold) leads to an increased risk for Alzheimer’s disease. Although we all experience this exposure to a greater or lesser degree, the key is to minimize it by identifying and removing or minimizing exposures.
  • Type 4 Alzheimer’s disease is vascular, or pale
    • If you have cardiovascular disease, you are at an increased risk of Alzheimer’s disease. Vascular leakiness is one of the earliest changes identified in Alzheimer’s disease.
  • Type 5 Alzheimer’s disease is traumatic, or dazed
    • A history of head trauma — from accidents, falls, or repeated sports-related head injuries — increases your risk for Alzheimer’s disease.

Most patients with Alzheimer’s disease have more than one type and present multiple risk factors.

Get Screened and Get Optimized

In our office we screen for dementia with regular labs looking at all the factors above, MRI scans and a yearly COGNITRAX mental status test.  This is covered by insurance and by Medicare.  In fact, they recommend it yearly with your annual wellness visit.

Second, we perform autonomic nervous system testing yearly that looks for metabolic causes of inflammation and stress.

The key markers that I have found essential to balance in this population are:

  • HS-CRP
  • HbA1c
  • HOMA-IR
  • TG:HDL ratio
  • small dense LDL particle
  • Fasting Insulin
  • Homocysteine
  • Vitamin D
  • MRI with grey matter volume measurements

This multi-factorial seven tiered approach has been tremendously effective the delaying and treating progressive dementia. If you have any risk for dementia, get in to your doctor and get your brain checked. Or, call my office and schedule a comprehensive dementia evaluation.

The Myth Of the “Family Man”

You aren’t a “family man.”  Your a man with a family.   This distinction matters.  And, it matters to the survival of our species. 

You were taught to think of family life as the promised land – a blissful state wherein, once won, you collapse into the arms of an all-loving, all-sustaining woman, carried along in the euphoric carefree nirvana of procreation and whelp-tending . . . 

That once you entered the paradise of marriage and family life, the need for seeking and striving and straining and providing will, at last, be behind you . . .  

That you can slip gratefully into the rest and reprieve of being the “family man.”  

That’s the mythical dream we’ve be sold for the last 50 years . . . interwoven within our cultures, media and folktales.  But, as you know, it’s a lie.  It’s a deceptive lie upon which stories and movies have been founded.

Deep down, you and I know it.  What’s the point in trying if you know the game is rigged? For the satisfaction of knowing you are contributing to the greater good? That’s just the kind of stupid thing an intellectual Ivy League indoctrinated mind would regurgitate.

Family life demands much much MORE piss and vinegar, not less.  Anyone who calls marriage the simple domestication of a man never actually successfully tried it. 

In fact, it must always be the wildest of men who marry. 


When you marry, you don’t “settle down.”  You settle in for the long haul.  The long haul is where you sweat and bleed and hammer to create, and attack and guard and parry and defend from the ever encroaching evil at that scale of creation . . .  for the rest of your life.  Being  a man with a family is dangerous.  It takes courage, and courage implies a risk. It implies a potential for failure and the presence of danger. Courage is measured against danger. The greater the danger, the greater the courage.  And, courage is the only virtue that you cannot fake.

Family life isn’t some trophy to be won; some suspended state; some hall-pass that lets you opt out of the agonies and ecstasies of the masculine life. 

Family life is a fitting and beautiful burden; a mantle; a forged function of the highest order that draws more vision, power, brilliance and greatness than any unattached life could ever offer.

Yet, if you get that fundamental mindset wrong, then married life will feel like a constant catastrophe, getting burned at the forge of creation with the supposed fruits of family life perpetually denied you.   

The universalism of today’s society desires the “family man.”  The universalism that can only condemn those who defend, and can only separate those who attempt to differentiate, is the product and unintended consequence of a global trade. The one true god of the universalist is Mammon, and he embraces anyone with a pocket full of cash who doesn’t scare away other infecund customers. This is why we are told to accept the unacceptable, to condemn religions that condemn, to share cultures with everyone as if they belong to no one, to deny all racial affinity, to pretend that men and women are interchangeable. Because exclusion and a real man is bad for business.

Again, you aren’t a “family man.”  You aren’t some separate, cloistered categorical shell of a man.  That’s what every educational institution, every government and every feminizing organization within the world wants you to think.

You are a MAN with a family – a man subject to all the gauntlets and crucibles and devastations of our sex. 

So, quit the myth of the well-adjusted, happily-sequestered family man. Drop every pretense of arrival you were sold; lest you rob your family and yourself of your full power, your abounding glory, let loose your native self.  

You are just getting started.

You and I, we are, each of us, alone.  Even with a family, this is the first law of masculinity. And it is the most important law. Your value is equal to the value which you bring to your family and to your tribe. We are not equal. You are not special. Your masculine respect is earned, not given. 

This is why men make fun of the “the family man.” Your brothers will not love you unconditionally for who you are, just being a man or yourself. They will criticize you. They will push you to your limits. They expect you to bring out your best, put on your “A” game. And, then, they only give you their respect when you’ve earned it, family or no. 

This isn’t shocking at all. It’s common knowledge to any man because deep in your genetics, it is hardwired into you, ready for use. 

Your childhood is over. The boy is dead. Wake up, step up.  It’s time to be a man with a family for the rest of your life.

Semper Virilis

The COVID Vaccine Horror Story

A very troubling trend has occurred in the last six months.  I’m now seeing those who were vaccinated and boosted testing positive for COVID-19 more often than the unvaccinated.  Is it a coincidence, or is there a connection between the number of shots you receive and your risk for COVID and other severe diseases?  The numbers say it’s more than a coincidence.

Speaking about this publicly and sharing my experiences on this subject has cause me to be ostracized from many of my peer groups, be reported to the medical board, receive condemnation from religious leaders, condemnation from many “so called” friends and even members of my own family.  Yet, I cannot deny what I am seeing with my own eyes.  In my office alone, we had multiple cases of myocarditis, colitis, blood clots, chronic fatigue due to vaccination with a recent uptick in COVID positive cases in those who have been vaccinated.  More and more data appears, demonstrating that I’m not alone in this finding.

According to the U.S. Center for Disease Control and Prevention data, more than 1 million excess deaths – that is deaths in excess of the historical averages – have been recorded since the COVID-19 pandemic began two years ago. These are excess deaths from heart disease, high blood pressure, dementia, worsening obesity and many other illnesses [1, 2].

“We’ve never seen anything like it,” Robert Anderson, CDC’s head of mortality statistics, told The Washington Post in mid-February 2022 [3].  University of Warwick researchers stated, “the scale of excess non-COVID deaths is large enough to be seen as its own pandemic” [4].  A number of explanations including lockdowns and other COVID restrictions have been proposed, but another looming factor no one is talking about appears to be at play.

As I have been watching the trends across the world, death rates have risen in tandem with COVID vaccine administration.  The most-jabbed areas have surpassed the least-jabbed areas in terms of excess mortality and COVID-related deaths.   This doesn’t correlate at all with the official claims touted across the media and social media sites that the vaccination prevents severe COVID infection and lowers your risk of death from COVID or all other causes [5].

If You Were Boosted, You’re Now At the Highest Risk of COVID

Many of my, and the experts I closely follow, worst fears are coming to fruition.  Fully vaccinated individuals are now more likely to be infected with COVID variants and are more likely to die, whether from COVID or from some other cause.  This is what we feared and now it’s happening.

Jeffery Jaxen, an investigative journalist, reported Walgreens’ COVID-19 tracker data that COVID vaccinated people are testing positive for COVID at higher rates than the unvaccinated [6].

During the week of April 19-25th, 2022, 13% of unvaccinated tested positive for COVID (Omicron being the primary variant).  Of those receiving two does over five months ago, 23.1% were positive.  And, those who have had a third dose, over five months prior were 26.3% positive.   Data demonstrates that those who have been boosted are at the greatest risk of reinfection with COVID and its variants.

According to Jaxen, two doses was protective for a short while, but after five months, it becomes more harmful.  The group faring the worse is the 12 to 17 age group cohort where after the second and third doses positive cases shoot up after the fifth month [7].

Death by Vaccination in the UK

An even greater trend is being seen in the U.K.  Data from the Office for National Statistics illustrates increased all-cause mortality based on vaccination status.  In Jaxen’s compilation of the data below, bars going up are good, bars going down are indicative of increased death by all causes based on vaccination status [8].

As you can see, the trend is just getting worse.  Mortality is between 100-300% greater in those who had their first dose of the vaccine more than 21 days ago.  Risk for death from all causes is significantly elevated in those that were vaccinated with their second dose more than six months ago.

More Jabbed, More COVID Deaths

Don’t believe me, look that the two videos below demonstrating the rate of excess death from all causes and how it suddenly trends with the rate of COVID vaccination.  I wish I was wrong, but the data tells a gruesome story that no one is talking about.

The first video below is an animated illustration[9] from Our World In Data, first showing the vaccination rates of South America, North America, Europe and Africa, from mid-December 2020 through the third week of April 2022, followed by the cumulative confirmed COVID deaths per million in those countries during that same timeframe.

Africa has had a consistently low vaccination rate throughout, while North America, Europe and South America all have had rapidly rising vaccination rates. Africa has also had a consistently low COVID mortality rate, although a slight rise began around September 2021. Still, it’s nowhere near the COVID death rates of North America, South America and Europe, all of which saw dramatic increases.

 

The second video below is from Our World In Data [10], first showing the excess death rate in the U.S. (the cumulative number of deaths from all causes compared to projections based on previous years), between January 26, 2020, and January 30, 2022, followed by an illustration of the tandem rise of vaccine doses administered and the excess mortality rate. It clearly shows that as vaccination rates rose, so did the excess mortality rate.

Risk-Benefit Analysis Says the COVID Jab Shouldn’t Happen

Risk-benefit analysis demonstrates that with very few exceptions, COVID vaccinations do more harm than good.   For example, a risk-benefit analysis by Stephanie Seneff, Ph.D., and independent researcher Kathy Dopp, published in mid-February 2022, concluded that the COVID jab is deadlier than COVID-19 itself for anyone under the age of 80 [11].

Even this data is conservative as it ignores the fact that adverse events from the vaccine like blood clots, myocarditis (inflammation of the heart), Bell’s Palsy, and other vaccine-induced injury can lead to shortened life spans.

When you take into consideration that there is a 90% decrease in the risk of COVID-19 death with early treatment given to high risk persons, one can only conclude that mandates of COVID-19 inoculations are ill-advised.  For most age groups with the emergence of anitibody-resistant variants like Delta and Omicron, COVID-19 vaccine inoculations result in higher death rates than COVID-19 does for the unvaccinated [11].

Even more concerning is that the U.K. data above demonstrates the increased risk of death by all causes is 300% greater for those who got a second dose more than six months ago.

Teens Are at Dramatic Risk of Death from the Vaccine

Analysis of the Vaccine Adverse Events Reporting System (VAERS) by researchers Spiro Pantazantos and Herve Seligmann point out that shots ONLY increase the risk of death from COVID-19 if you are under age 18 years old. There is no point at which a single COVID vaccine dose prevented a single COVID death in this age group no matter how many children under 18 we vaccinated [12].

If you’re under 18 years old, you’re 51 times more likely to die from the COVID vaccination than you are to die from an infection with COVID if not vaccinated.

Stop for just a second and re-read that statement above.

In the 18 to 29 age range, the shot will kill 16 for every person it saves from dying from COVID, and in the 30 to 39 age range, the expected number of vaccine fatalities to prevent a single COVID death is 15.  That is, 15 people will die from the vaccine for every one death it prevents.   If that doesn’t scare the $#!$ out of you, I don’t know what will.  Because, as physician in the trenches dealing with these reactions for the last 2 years, this is what keeps me awake at night.

Only when you get to the 60 year old and older categories does the risk between vaccination and COVID infection even come close to leveling out.   In the 60-69 age group the shot will kill one person for every person it saves from a COVID death.  So, it’s really a game of Russian Roulette as to whether is might be worth it for a given person to get vaccinated.

Now, patients are showing up in my office asking if they should get a fourth dose.   My answer is a resounding “Hell NO!”

How Many Body’s Are You Willing To Sacrifice?

We have access to the risk-benefit analysis by researchers in Germany and The Netherlands. This analysis was initially published June 24, 2021, in the Journal Vaccines [13]. The paper caused an uproar among the editorial board, with some of them resigning in protest [14].

In the end, the journal simply retracted it — a strategy that appears to have become the norm among the medical literature community.

After a thorough re-review, the paper was republished in the August 2021 issue of Science, Public Health Policy and the Law [15].  The analysis found that, “very likely for three deaths prevented by vaccination we will have to accept that about two people die as a consequence of these vaccinations,” the authors wrote in a Letter to the Editor of Clinical and Translational Discovery [16].

While a much better system for monitoring vaccine safety is essential, there is no doubt that the COVID vaccines are ill-advised for most people.  I surmise to say that in years to come, our children and grandchildren will look back at this period in time in horror, vowing never to repeat it.

References:

  1. S. CDC, Excess Deaths Associated with COVID-19
  2. MarketWatch February 16, 2022
  3. The Washington Post February 15, 2022
  4. Studies in Microeconomics October 19, 2021
  5. CDC MMWR October 29, 2021; 70(43): 1520-1524
  6. Walgreens COVID-19 Index Data
  7. Bad Cattitude Substack – April 15, 2022
  8. gov.uk Deaths by Vaccination Status
  9. Twitter TexasLindsay April 23, 2022
  10. Twitter TexasLindsay April 25, 2022
  11. COVID-19 and All-Cause Mortality Data Analysis by Kathy Dopp and Stephanie Seneff
  12. COVID Vaccination and Age-Stratified All-Cause Mortality Risk
  13. Vaccines 2021; 9(7):693
  14. Science, Public Health Policy and the Law – August 2021; 3:81-86.
  15. Science, Public Health Policy and the Law – August 2021; 3:87-89.
  16. Clinical and Translational Discovery, February 25, 2022; 2(1); e35

The Elk

(I was asked to speak in church yesterday. This is the talk I gave. For those of you that don’t mind pondering your spirituality, as the spirit so powerfully influences one’s health, I thought you might enjoy it)

The huge elk stood in the center of the dirt road. . . 

The morning air in the pines had been crisp and clean.  The sky was blue, not a cloud present.  Other than the chirping of birds, the Alpine Forest was quiet and peaceful.  I got up early for a morning run before I was needed at our scout camp.  I took off at an easy pace and the ground felt good under my feet.  

A mile down the road it happened.  I came to a dead stop as I rounded the corner.  He stared me down, snorted, then . . . he bugled.  The sound pierced my head and chest, I felt it in my soul. He was a majestic beast transformed, standing taller than my horse.  His antlered rack fully-formed, he towered over me, standing over 8 feet high . . . the hair at the top of his head darker, and hackled.

We stood face to face only a few yards from each other.  He lowered his head and stomped his hoof, when our eyes met, and I instantly felt his temptation to head-butt me off the road down which I had been jogging.

For much of the year, male elk are indistinguishable from the female: bull and doe alike are antler-less. Yet each spring the males regrow their antlers…which in turn are soon covered in velvet.

And, then, finally they come into the “hard horn,” when the velvet is rubbed off from the battles and grind of the year, antlers polished and the bull is ready to mate.  Once the rut is over, the bull’s antlers fall off… taking the bulk of the male’s testosterone with them. The bull’s power is in the horn.

This bull, with which I had come face to face had a full rack, the span of his antlers and easy four and a half feet.  He towered above me in his grandeur.  He was the biggest elk I’d ever seen.  And, his doe was just off the road grazing in the pines.   He looked at her, she at him, then back at me. I felt a chill from my head to my toes.  He owned that road that day, I knew it, and he knew it. I will never forget that moment.  This was his path and I was obligated to step aside.

Men Have Lost Power And Momentum

We live in an age when men have become essentially indistinguishable from women.  They’ve lost their power, they’ve lost their momentum for life and the path.  Men may have their own marks.  

Yet, no size of beard, no amount of gym swole, no tattoo, no amount of bravado can hide the fact that man shed his rack–his essential POWER–a long time ago.  For anyone with eyes, the truth is plain to see: The antlers have fallen off. 

There Is No Safe Path

As I learned on that dirt road years ago, in this life there is no safe path. 

Despite what the minions of the world and those of the adversary attempt to convince us of on a regular basis, there is no escape from the consequences of this life.  That’s the reason that 1/3rd of the hosts of Heaven decided against receiving a mortal body and coming to this test tube of earth where there is no safe path (Revelation 12:9).  

There is a noble path. 

There is an honorable path.

But there is no safe path . . . and to be frank, in the premortal existence, you and I didn’t want that anyway.  That was Lucifer’s modification to the plan – provide them a safe path and they all will make it back unbruised and unscathed so that he could take the glory (Isaiah 14:13-14). 

Yet, civilization and society has created cities and communities of no consequence.  Men and women have been deluded into thinking that if they walk into the street, the car will always stop, and the only result will be an angry driver.  But, this is a delusion.  Ride a motorcycle just once on the streets of Phoenix, and you’ll learn this lesson.  

You and I live upon a telestial planet that does not freely offer mercy.  When you live upon the land, when mother nature is your neighbor, there can be no mistakes.  Despite what the CDC says, nature does not care.  The river will freely swallow you if you can’t swim.  The snake doesn’t care how much you love your children.   And, the wolf has no interest in your dreams.  If you fail to beat the current, you will drown.  If you get too close, you will be bitten.  If you are too weak, you will be eaten. There is no government that can save you.  There is no congress that can legislate away the rattlesnake.  There is no vaccine that inoculates you from the fangs of the wolf.  This is what caused a third of the hosts of heaven to shudder when the plan was presented.  This has been Satan’s pick-up line at the watering hole for millennia.  The alure of safety is a lie. Yet, here you are.  You and I chose to come.  You and I got on that bus.

Who are you anyway?  You and I, we are warrior stock.  Every single one of your ancestors got a body, came to the earth, and kept your genealogical line alive for over 6000 of the historically recorded years to get you here, to this moment, today. 

So, what makes you so sure you were built for safety?  What makes you so sure that safety is the ultimate goal we should be striving for?   

Can you remember who you were, before the world told you who you should be?

My childhood hero, John Wayne said, “Have you heard of some fellas who first came over to this country?  You know what they found?  They found a howling wilderness, with summers too hot, and winters ice cold and freezing.  Did they have insurance for their old age, for their crops, for their homes?  They did not.  They looked at the land and the forest and the rivers, they looked at their wives, their kids and their houses.  Then, they looked up at the sky and said, ‘Thanks God, we’ll take it from here.’  They were men!’  you and I, we come from real men and real women. 

Coming to this earth was an act of courage.  If you want adventure, you tell the truth about reality in your life, then you take action . . . that is the adventure. 

Action Toward Goals Starts the Momentum

The very act of seeking out your goals takes courage and sets things in motion, it begins the momentum.   Courage implies a risk. It implies a potential for failure or the presence of danger. Courage is measured against danger. The greater the danger, the greater the courage. Running into a burning building is more courageous than telling off your boss.  Telling off your boss is more courageous than writing a really mean anonymous letter or reposting a meme on Facebook or Twitter.

Acts without meaningful consequences require little courage.

Everything you’ve ever wanted is on the other side of fear.  Satan and his minions have successfully turned our attention away from the promises spoken of in Matthew 13:17, the prophets desiring to see the things that you’ve seen, and hear the things that you’ve heard.  

Just because millions of people share the same vices does not make those vices acceptable, the fact that they share so many errors does not make those errors true, and the fact that millions of people share the same psychological pathology does not make these people sane.  Much of our society is on spiritual autopilot. . . the problem with autopilot is that you may be on the wrong plane.  Many men spend their entire lives fishing without ever knowing that it isn’t really fish they’re after. 

Something I’ve learned from my son while mountain-biking is that you hit what you focus on.   But, you first must focus.  And your focus must be on truth, not upon flawed reality. The very act of seeking truth sets things in motion. 

President Nelson defined Momentum in his April Conference talk.   Momentum is the motion of a body, equal to the product of the body’s mass and it’s velocity.  it can also be defined as the force or energy exhibited by a moving body.”  That elk that stared me down, though he was just standing in the road, had momentum.  I felt it.

Spiritual Momentum Aids In The Journey Back Home

Momentum is the most powerful physical force you can have helping you or hindering you.  Once you are moving, momentum helps you more easily reach the goal.  Spiritual momentum aids you in your journey to exaltation and eternal life in our heavenly home.  The speed by which you travel the road of life matters not as long as you do not stop.

For those of you who love to geek out on science stuff, Newton’s first law of motion states that every object at rest will remain at rest unless compelled to change its state, while objects in motion will stay in motion

Simple actions in life are often the cause of momentum.  Success often hides within your morning habits.  Everything that happens in our lives is based upon a law of the universe and our adherence to or deviance from that law.

Focused attention on your intentions causes you to gain momentum.   Thoughts are actually matter attached to energy. Our thoughts are made up of hope and dreams.

Often, the difference between winning and losing is usually ones momentum.

People will pay any price for motion.  They will even work for it.  Look at bicycles. People walk into a bicycle store and drop five to ten thousand dollars for something that will help them gain motion.

Momentum Is Applied to Faith

“Faith is the substance of things hoped for, the evidence of things not seen.”  (Hebrews 11:1)   Faith then is the actual substance of hope.  It is a substance to which action or motion can be applied.   Much like a boat upon the water, when wind is added to the sails the boat begins to move.   Once in motion that boat has momentum. 

Joseph Smith tells us that the human mind and body would remain in a state of inactivity or at rest (based on Newton’s First Law of Motion) without action applied to the substance of hope, or without faith.  

Benjamin Franklin reminds us to “never confuse motion with action.”

Most of life is routine – dull, grubby and repetitive.  However, this routine is what keeps a man moving toward a goal.  Routine is actually what creates the perpetual momentum.

Routine becomes hopeless if there are no goals clearly defined by you individually or in your family. 

We experience almost all our hope in relationship to our defined goals. 

Momentum arises in the routine day to day activities that move one toward desired goals. 

You are never too old to set another goal or to dream a new dream – CS Lewis

If people are to live together in harmony, there must be some overarching structure that unites you.   What else is a family, if it is not an overarching structure that unites you?

Within the family there must be tolerance and even appreciation for necessary individual differences.  Obviously there should be.  But, that does not mean that there is a higher unity that the entire organization is striving for in some manner.  Not just striving for, but pining for or even dying for. 

The absence of that sense of incorporating higher structure is a felt sense of catastrophe on the part of members of the family.  This is why family is so essential to the growth of the child. 

How do you move toward the goal? You break it down into small steps.  Steps small enough that even the useless can do them. . . and those steps are placed into a daily routine. 

You’ll move toward the goal if you break the steps down small enough so that even a child will do it.  This requires a fair bit of humility.  The step you are resisting to take today is often so small that you may be embarrassed to admit it to yourself.  So, then you don’t take any steps at all. 

FIVE STEPS

President Russell M. Nelson, in the April 2022 General Conference, outlined Five Actions that perpetuate momentum. 

First, Get On the Covenant Path and stay there – Renew your covenants every week.  Don’t be afraid of covenants and or commitments.  Do not be afraid of taking on responsibility.  It is within that responsibility that you find out what sustains you in your life

A lot of the things that people regard as traps are actually the means to their lives.  Young people are often afraid of commitment because they fear it will prevent them from identifying something more valuable.  You will never find something more important in your life than a committed relationship with someone that you love walking the covenant path together that sustains itself across time and in all likelihood produces children.  That is life.  Do not be afraid to try and fail.  That is why we were given the ability to repent.  

I have had a fascinating career thus far with up and downs and successes and failures.  Yet, the most important thing in my life has been my intimate relationship with my wife and my family.  Commitment is the igniter of momentum.  Only committing to the “right thing” half way causes stress, fatigue, disease and dead pastures.

Second, Daily Repentance brings joy.  Alma taught, “teach nothing but repentance and faith on the Lord Jesus Christ.” (Mosiah 18:20).   Tell the truth every day of your life.  If you do this it will change your life.  Stop cheating at whatever game it is you’ve chosen to play.   

How will telling the truth change your life?  You cannot adapt to reality if you falsify it.  You cannot just lie to other people.  What you say becomes you.  The words you say are recorded by your subconscious and your subconscious then works to create the reality of what you say.  What you say becomes you.   We build ourselves out of our words whether those words are true or false, as a man thinketh, so is he.   Well, if I lie, I can get away with something.  NO you don’t.  

In all of my clinical practice, I have never every seen anyone get away with anything, even once.   You think the chickens won’t come home to roost?   All that means is you are too stupid to see the cost of your lies, too blind or too self-deceptive.  You just don’t see it.   You don’t get away with anything.  Nothing.  It’s terrifying when we actually understand that.   What if you can’t get away with anything?  Well, that the old idea of a judgmental God.  It’s an old idea for a reason.   

Do you think you are someone who can warp the structure of reality with your words and get away with it?  There may be those that say, well I’ve lied and got away with things.  But look at yourself, is everything right in your life right now?  Is everything just as you want it to be?  

People eventually figure out who you are and you have to come clean or move on.  No long term relationships can be formed, no love, no trust, no brotherly affection, no friends.  No financial success, not in the real sense.  Or maybe your are just too dim to see the consequences.   Take it from someone who sees this on a daily basis.  You can’t try to warp the structure of reality and get away with it.  You don’t mess with reality.  Eventually you have to pay the piper.  It kills you.  And, it may torture you quite a lot before doing that if you are particularity unlucky.  

Again, this is why 1/3rd of the hosts of heaven didn’t even want to get onto the bus down here to this earth life.   You violate your conscience and you will pay.  That is hell.   

Daily repentance, then is what fills the sails with positive momentum.    

How do you start? Clean up your room.  Attend sacrament meeting.  Tell the truth.  Applying just that little bit of advice changes your life.   Don’t substitute the false for the real.  The trouble is, you think you have time.  Talk to your parents. Talk to your spouse.  Talk to your bishop. 

Third, Learn About God and How He Works. Learn to distinguish between the truth of God and the counterfeits of Satan.  

“Pray always . . .  that we may conquer Satan and escape the hands of the servants of Satan that do uphold his work.” (D&C 10:5). 

Learning about God is how you learn about yourself.  

I see men ages 20-35 that are desperate for a discussion about responsibility, and fair play, noble being, God and working properly in the worldThey are desperate actually hear the idea that their lives actually matter. That if they straighten themselves up and fly right that they’ll have a beneficial effect on themselves and their families and their communities.   

The world is starving for those conversations.  Our young men and our young women are starving for that knowledge as individuals.  You in this room have that knowledge.  Share it with them.  Faith cannot be effectively exercised enough to move one on to life and salvation, or have the momentum to do so, without three specific things:

  1. The idea that God actually exists
  2. A correct idea of his character, perfections and attributes
  3. A knowledge that the course in life you are pursing is according to God’s will.

Learn about God and your relationship to him and you will be amazed at the momentum it provides you.  That will move you on to the fourth action.

Fourth, Seek and Expect Miracles God has not ceased to be a God of miracles.  

There are two ways to live your life. One is as though nothing is a miracle. The other is as though everything is. . . The second is the source of peace and happiness.  

Do the spiritual work to seek miracles. Prayerfully ask God to help you exercise that kind of faith.  

Few things will give you more momentum than the knowledge that God is helping you move a mountain in your life.   

Chose to believe something good can happen.  Expecting it to happen energizes your goal and actually gives it momentum.   

Are you fully committed to your goal?  Very few Americans are truly committed to a lifestyle. They don’t want to be called a fanatic. Are you all in? If you’re not all in, why are you surprised you haven’t had results or seen the hand of the Lord in your life?  

My daughter has just returned from Missouri on her mission.  I lived there while attending medical school.  It was there that my wife and I were fascinated by fireflies.  If God can make a bug’s bottom light up in the night sky, think of what He can do for you and me.

Fifth, End the Conflicts in Your Life.  Matthew 6:14 – For if ye forgive men their trespasses, your heavenly Father will also forgive you.  See what’s getting in your way.  Rectify the things in your life that need to be fixed.   Look at yourself first to fix the problem. Listen to the other person.  Unhappy is the man or woman who never faces adversity.  For he or she are never permitted to truly prove themselves.  

Seek the Top of the Mountain

You seek the top of the mountain.  You’ve felt this longing for years. 

There is a trail that leads to the top, but the path is long and narrow, it is perilous and often very hard. 

You yearn for easy transport, for the helicopter to take you directly to the peak. 

You search for the silver bullet, the magic formula, the push-button solution that will wipe your old life away and replace it with something far removed… something utterly transformed. 

But, in your heart you know the truth: The fulfillment you seek comes not from tricks, hacks, or shortcuts, but from taking one step after the other until you stand there, at last, on the roof of the world, on the top of the mountain.

The fulfillment you seek comes from becoming the man or woman who climbs, the one who’s trodden the path, climbed the mountain. 

So, do not ask for the helicopter. Do not ask to be taken out of yourself. 

Live your life, instead, in such a way that your mind is transformed, that the miracle happens, so that the thought of traveling the path that fills other men with dread, fills you with soulful excitement.  

Live your life in such a way that the utterly spent exhaustion of childhood comes back to you and you feel like a 12-year-old again. 

Live your life in such a way that all traces of action-crippling ambivalence are seared away, that you may climb the mountain with joy. 

The blinding thicket, the burning wind and lactic burn will never go away. It’s all still there. 

Only now, those pains do not stop you, for you have chosen to be dauntless, lionhearted and valiant. 

And what would seem arduous and unbearable to others who are not lifted from within, as you are, seems instead to you a privilege, an honor, and the greatest of adventures.  

Because you are filled with hope, you are driven with honor, you have the momentum of the Spirit of God. 

Be the one who waits at the bottom of the hill and holds the coats . . . or be the man or woman who climbs to meet the Sage on the mountain, who meets the Master.  

There is one who already showed you the way.  The choice is yours. 

Toxic Femininity?

I posted this on social media today. However, it will probably be taken down by the “fact checkers.”

So, I figured I’d post these statistics here. It is a huge problem, yet no one is talking about it, and it is being blamed on men. Let me preface this with the statement that any form of abuse is abhorrent and should not be tolerated from men or women. We as a society should never have to resort to violence resolve conflict, and yet, here we are.

It is sad that we live in a society where a man is guilty until proven innocent when it comes to accusations of abuse. We are supposed to be living in a country where a man is innocent until proven guilty. The case of Johnny Depp proves the latter to be false.

This is shocking because women are statistically more likely to be the abusers than men. Don’t believe me, read them yourself.

DOMESTIC VIOLENCE FACTS:

  • Women are more often domestic abusers. SOURCE: HHS
    • In 2020,
      • 248,335 instances involving a female perpetrator.
      • 225,020 instances involving a male perpetrator.
  • Single mothers are more often abusive toward children than single fathers. SOURCE: HHS
    • In 2020:
      • 221,372 instances involving only the mother.
      • 138,803 instances involving only the father.
  • Lesbian couples have the highest domestic abuse rate of any demographic. According to the National Coalition of Domestic Violence, “43.8% of lesbian women and 61.1% of bisexual women have experienced rape, physical violence, and/or stalking by an intimate partner.” SOURCE: NCADV

I don’t have an answer for these issues. The first step is just recognizing the truth about what is actually happening in our society.

The Top of the Mountain

You seek the top of the mountain.  You’ve felt this longing  for years.
There is a trail that leads to the top, but the path is long and narrow, it is perilous and often very hard.
You yearn for easy transport, for the helicopter to take you directly to the peak.
You search for the silver bullet, the magic formula, the push-button solution that will wipe your old life away and replace it with something far removed… something utterly transformed.
But in your heart you know the truth:
The fulfillment you seek comes not from tricks, hacks, or shortcuts, but from taking one step after the other until you stand there, at last, on the roof of the world.
The fulfillment you seek comes from becoming the man or woman who climbs, the one who’s trodden the path, climbed the mountain.
So, do not ask for the helicopter. Do not ask to be taken out of your self.
Live your life, instead, in such a way that your mind is transformed, so that the thought of traveling the path that fill other men with dread, fills you with soulful excitement.
Live your life in such a way that the utterly spent exhaustion of childhood comes back to you and you feel like a vibrant 12 year old again.
Live your life in such a way that all traces of action-crippling ambivalence are seared away, that you may climb the mountain with joy.
The blinding thicket, the burning wind and lactic burn will never go away. It’s all still there.
Only now they do not stop you, for you have chosen to be dauntless.
And what would seem arduous and unbearable to others who are not lifted from within, as you are, seems instead to you a privilege, an honor, and the greatest of adventures.  Because you are filled with hope, you are driven with honor.
Be the man who waits . . . or be the the man who climbs to meet the Sage on the mountain, the Master.
There is one who already showed you the way.
The choice is yours.
Happy Easter.

Dr. Nally’s Keto/Carnivore LiveStream Video Topics

I will be starting a twice weekly exclusive live-stream here for my amazing online followers and patient who are participating in the KetoClan Group on the following sixteen topics next week. Will be sharing the basics and my 22 years of clinical experience with each of these topics as it relates to health and weight management. These topics will take 10-30 minutes, then giving the remainder of the hour to you to ask questions.

YouTube player

The topics we will cover over the next 8 weeks are listed below:
1. Insulin
2. Monitoring Glucose – CGMs
3. Fat Adaptation
4. Things that make insulin go “bump in the night (or the day)” – (sweeteners, creamers, teas, Resveratrol, nuts, etc)
5. Protein
6. Basic Thyroid Function
7. Female Hormones
8. Male Hormones
9. Testing Ketones in Urine, Breath, Blood
10. Ketoacidosis
11. Medications and ketogenic diets (Metformin, DPP4s, GLP-1, SLT-2s, sulfonoureas, Berberine)
12. Stress – Cortisol & DHEA
13. Exercise – Cardiovascular and Resistance Exercise
14. Sleep
15. Food Cravings and the Subconscious Mind
16. Keto, Carnivore or Fasting – What should I be doing?

Not a member yet? Sign up here.

2022 Keto Awards

I’ve been told that many of you have nominated me. Thank you!!!

Every year Ketogenic.com hosts the Keto Awards with Metabolic Health Summit to highlight some of the best and brightest in our community.


There are five unique categories in which you can nominate and it would be an honor to me for you to add your vote:
Top Keto Educator
Top Keto Book
Top Keto Podcast
Top Keto Researcher
Making Positivity Louder

I’ll be sure to let you know who is selected.
Please take a minute to cast your vote for me.
Vote Here:

https://ketogenic.com/keto-awards-2022/

Mind Chatter And How to Fix It

James Allen put it this way, “As a man thinketh, so is he.”  This is the case because we truly are what we think about.  This is based on the subconscious scripting written in the basement of our minds and the behaviors stimulated by memory and emotion related to that scripting.  Our minds are plastique, meaning this scripting can be molded, changed and re-written over time, one just has to have access to the pliable parts of the brain.

To understand this, some basic understanding of the brain functions is essential. There are two main compartments in our mind.

The conscious side of the mind is where we analyze and logically think about our thoughts and images we’ve seen.  This is the location where we have agency and choice and make decisions about whether we will accept those thoughts as truth or reject them.  The fact that we can consciously think about our thoughts and analyze them is what differentiates us from the animals of the world.  We can decide in advance of our action what reward or consequence will occur if we act out on those thoughts before acting upon them. This is the divine nature of man.  Animals don’t think is way.  They function solely on instinct.

The conscious mind is where we can choose and decide without the thought or image having an effect upon us.  However, once the thought is spoken verbally, the thought and it’s associated emotion is recorded deeper within our minds by crossing the Critical Factor Belief System Barrier into our subconscious imagination.  Once there, the thought is then amplified in the imagination, validated by previously recorded memories and may begin to generate emotional energy that can then activate the autonomic nervous system (brainstem) based on the degree of emotional stimulus.

It is, therefore, essential to think critically, analytically, and logically about the rewards and consequences of the thoughts we think before taking action. You have to decide in advance of speaking whether or not this thought is going to be right, true and correct for you, or inappropriate for you in advance of speaking it and moving on into acting upon it.   If it is incorrect for you, you are to “bounce the thought out of your mind.”  This means that you reject the thought outright, and the thought is not given subconscious access.

The subconscious mind acts like your own personal “genie in the bottle.”  The genie in the bottle doesn’t care what is right or wrong, good or evil, worthy or unworthy.  The genie only wants to fulfill the wishes of the conscious mind, the genie’s master.  That’s is the reason seemingly good people can do bad things.  It’s the reason that people are shocked by their own actions when they are place in situations of tremendous stress or trauma.  Whenever and whatever you consciously speak, whether you know it or not you are directing the genie for good or ill.  Anything that is a misdirection or a negative implication about yourself is considered to be “potty mouth verbiage” and self-sabotage.

Speaking negativity or talking yourself further into a problem instead of speaking your way out of it gives a directive to the subconscious mind.  Speaking, “I am depressed,” is interpreted as a literal directive to the genie in your subconscious mind to turn up your feelings of depression.  The genie doesn’t care or judge, it only wants to fulfill the directives from the conscious mind.   If you exclaim, “I hate life!” the genie focuses you on everything about life that is unpleasant, difficult, and makes you miserable.   The genie is doing its job to fulfill whatever you direct it to do.  The same is true of positive things you say.  When you say, “I love my life!” feel the difference.

It is necessary to clean out the basement or the subconscious mind from all the inappropriate rationalized stinking thinking patterns.  To do this requires a stairway down to the basement.  Trance, pondering or hypnosis is the stairway down.  It is the intentional internal access to the basement of the mind.  We want to intentionally go down to find out what rationalized thinking errors exist, and then, correct them at the level where they exist.

In the past twenty years of my medical practice, it’s become more and more difficult to address the disconnect between the conscious and subconscious mind and the subsequent diseases that arise from this disconnect with traditional approaches and medication.

Mind Chatter

The process and experience of becoming clear minded is a gradual process.  Many people that I talk to tell me that they commonly experience their minds racing from subject to subject and experience to experience throughout the day.  For many, this even occurs as they try to fall to sleep at night leading to chronic sleep deprivation and insomnia.  So many thoughts occupy their minds, and so many voices seem to chatter to them daily.  We call this “mind chatter,” and though most people think it is normal, having multiple memories and emotions bombard your mind is distracting and problematic to learning and normal day to day function.

With the advent of cell phones, handheld access to social media, the internet, and the media bombardment with COVID-19 fearmongering, this mind chatter has exploded across the generations, especially the among younger generation. We have created a younger generation stuck in their imaginations, highly susceptible to suggestion.

Take Your Mind Off of Guard Duty

Your mind creates this chatter to prevent forgetting important things to be completed.  You can dramatically improve this by learning to Take Your Mind Off of Guard Duty.  This means that before bed, or while you are in bed and a thought comes to mind, pull out a piece of paper and a pen and write down the thought, and then when you are going to thing about it tomorrow or the next day.   It is essential to write down the date and time so that your mind no longer feels the need to worry and remind you . . . its’ written on the paper.

You can download a copy HERE of my bedside page to use to facilitate this exercise nightly.

Familiar Thoughts & Subconscious Memory

Many people experience these thoughts or voices as “familiar.”  These voices sound much like their own thoughts.  Because they are tied to emotion, many people feel they are their own thoughts and they believe these thoughts.  They recall situations in school and childhood where they felt rejected, not good enough, not smart enough, etc.  Constant thoughts and feelings of inadequacy, fear, and guilt fill their minds.  These are things that journaling and hypnotherapy helps to correct and quiet.

Most of these thought scripts people hold in their subconscious minds are negative and have a binding effect, essentially holding people back from being and becoming all that they want to become.

The goal of hypnotherapy is to guide you in resetting your thought patterns back to a calm, clear, clean, confident, peaceful, powerful mind.

Eight Rules of the Mind

There are eight rules that govern interaction between the conscious and subconscious mind.  These are important to understand:

  1. Every thought or idea has a corresponding physical reaction.
  2. What is expected tends to be realized.
  3. Imagination is always more powerful than reason.
  4. Opposing ideas cannot be held at one and the same time.
  5. Once an idea has been accepted at the subconscious level, it remains there and governs our behavior in that area of our expression from that time forward until it is replaced by a new idea, or it altered and amended.
  6. An emotionally induced symptom produces an organic change in the body when that emotion is persisted in long enough.
  7. Each time your nervous system reacts in a given way, it becomes easier for the nervous system to react and respond that way the next time.
  8. When dealing with the subconscious mind, the greater the conscious effort, the less the subconscious response.

All of Us Have Experience Trance Caused by Advertisers

The natural trance ability of the human mind has been used for centuries to establish thoughts and beliefs in the minds of people.  And, like most things in life, these suggested beliefs could be meant for good or ill depending upon the intent of the person making the suggestion, and the content of the suggestions themselves.  People can be stimulated through suggestion to release and enhance the natural healing capacities and properties of the mind and the body.  On the flip side, people with evil or devious intent can attempt to use these natural trance abilities to promote ill will.

Most of the advertising we experience today takes advantage of our ability to go instantaneously into trance and become hyper-suggestible.  This is done through the form of advertising jingles used to implant thoughts, ideas, and beliefs into our minds.  These jingles serve essentially as “incantations” directed at our subconscious mind.  Radio and TV advertisers use catchy, suggestive phrases (a form of what we all affirmations) to encourage, influence, and persuade us to buy their products or services.  In particular, music enhances our natural inclination to go into trance, increasing our susceptibility to suggestions.  Television advertisements combine music, affirmation scripts and visual cues with the intent to put us into trance.

Most of us have noticed a constant bombardment of advertising through TV, Radio and internet whenever a new product launch beings. Advertisers know that we need to hear the name of the new product and picture ourselves using it in our imagination several times to get us to accept a mental association and then internalize the message, memorize it and have a desire to own or use the item.  Many of us often accept the suggestion, unaware of the process being used upon us.

For example, “Do you deserved a break today?”  100% of those reading these words will know exactly what I am talking about and the fast-food chain that wants you to have that break.  Coke is currently using the “Yes No Song” as their jingle.  Pepsi recently changed their tagline to “For The Love of It” with their own new hashtag #ForTheLoveOfIt.

I’m sure you’ve seen the 10 most effective jingles or catchphrases of all time:

  1. McDonald’s “I’m Lovin’ It”
  2. Kit Kat® “Give Me a Break”
  3. Oscar Mayer “I Wish I Was an Oscar Mayer Weiner”
  4. Subway “Five Dollar Foot Long”
  5. Empire “800 Number”
  6. State Farm “Like a Good Neighbor”
  7. Lucky Charms “They’re Magically Delicious”
  8. Huggies “I’m a Big Kid Now”
  9. Alka Seltzer “Plop, Plop, Fizz, Fizz”
  10. Band-Aid “Stuck on Band-Aid”

These are all examples of intentionally focused scripts designed to bypass the conscious critical factor filter and immediately access the subconscious mind, be remembered, and stimulate emotion.   Advertisers, and hypnotherapists alike, know that once you’ve scripted the subconscious mind, you think it, you feel it, and you act on it.

All People Experience Trance Daily

Hypnosis describes perfectly the natural processes of our mind.  In fact, everyone experiences multiple episodes of trance levels every day during the normal routines of life.  Each of us naturally go in and out of trance or hypnosis, experiencing different levels of altered states of mind on a daily basis.  First, think of the various trance levels you go through as you go in and out of deep sleep.

Another example is when you have an important meeting the next morning and you have to get up at 6 am.   You tell yourself, “I must be up by six o’clock , or I’ll be late.  I must get up at 6 am.”   Even though you never thought about what you were doing, you have likely found yourself waking up just before your 6 am alarm goes off.  Your subconscious mind did exactly what you programmed it to do.  You automatically woke up on time because this is something you directed your subconscious mind to perform.  Our subconscious mind does for us exactly what we have established as our most predominant thoughts.

Another recognizable state of trance is that of daydreaming.  This level of trance is also referred to as “waking hypnosis.”  When you begin to think about the events of the day while driving down the freeway, focusing inwardly to the point that you drive right past your exit, unaware.  Have you ever been on a long road trip, pull up in front of your garage door, and suddenly realize you are home?  You can’t remember the last hour or so of driving.  This is commonly referred to as “highway hypnosis” or “white line” hypnosis.” You simply shifted from an external-only focus consciously to a dual state of external and internal focus.  In this state of mind you have the ability to perform both functions – consciously drive the car, yet internally focus on other thoughts, at one and the same time.

Perhaps the most obvious signs of trance are a deep and profound physical relaxation and lack of awareness of time.  You have likely been in trance while concentrating on reading a book or watching a movie, or when you are highly focused on a project.  When the book ends and you direct your thoughts toward an external focus, you become aware of time again.  You suddenly think to yourself, “I cannot believe I’ve been reading for two hours already – it only seemed like minutes.”  Or, you experienced the opposite. Something only lasted a few minutes, but it seemed to take hours.

A deeper state of trance or hypnosis may be experienced while watching TV.  When someone in the family announces that dinner is ready, the person watching TV may not even move or blink an eye.  In this case, both the conscious part of the mind and the subconscious mind have ben brought into greater concentration or singularity of focus.

Seven Observable States of Mental Awareness

Many people who have never studied trance are afraid of it because it is unknown and they’ve heard incorrect or false notions about these states of mind.  They have understandable fear of the unknown and have not yet learned the ways in which they can use hypnosis for accomplishing worthwhile projects, behavioral changes and healing.  Trance can be used to give you access to every thought, feeling, emotion, every sensory perception – touch, taste, smell and sound – you have ever experienced form birth until now.

Hypnosis or trance is simply a sleeplike state of enhanced concentration.  There are seven different states that are easily identifiable.  Each state has a different beneficial therapeutic effect when used appropriately.

  1. Intentional Consciousness or Waking Suggestion
    1. Where observation, analysis, critical thinking and evaluation occur
    2. Wide awake, fully alert, eyes clear and bright, paying attention to detail
    3. Person feels self-confident, self-control and the ability to make choices
    4. Gama waves predominate in the brain with intense concentration– 100 Hz or more
    5. Beta waves present with less complex thought 12 – 95 Hz
  2. Waking Hypnosis or Daydreaming
    1. Dual state of conscious and subconscious awareness with primary focus in the subconscious mind
    2. Relaxed body, sag in jaw and shoulders, tearing of the eyes, dryness in the mouth, feeling an urge to swallow occasionally
    3. Highly imaginative state – where we imagine ourselves the hero or heroine of a story or movie. Daydreaming about what we want to accomplish. Great state for affirmations. Spacing out in a classroom. Often experience when highly engrossed in a movie.
    4. Beta waves present with internal focus 12-30 Hz
  3. Hypnoidal Trance
    1. Usually experienced first thing in the morning when you wake, but your body has not yet moved. It is that state when we mentally awake and wonder if we have overslept or wonder what time it is.
    2. Mental awareness. Body still asleep. May experience a single jerk of the body or an “abreaction.”
    3. This is the natural state of meditation and deep personal reflection. Often the state in which inspiration or personal improvement thoughts occur. Best state for prayer, affirmations and autosuggestion
    4. Beta waves present 12-30 Hz
  4. Catalepsy or REM State
    1. Preferred state for hypnotherapy and creating new decision-making processes. Person has access to their own conscious and subconscious functions at the same time.
    2. Ability to analyze, think and speak logically, as well as access subconscious imagination, memories and emotions
    3. Robot-like movement, rapid eye movement side to side, slowed breathing, balance between the extensor and flexor muscles, ability to hold the arm out for long periods of time without fatiguing, some people will have some muscle rigidity in arms or hands
    4. Preferred state for access to the conscious and subconscious mind at the same time.
    5. Alpha waves predominate – 8-12 Hz
  5. Somnambulism or Sleepwalking State
    1. Intelligence is locked into the imagination and person is in chronic trance with the ability to walk around “asleep.” Limited ability to filter or block out thoughts or suggestions.  Generally feel other’s opinions are of more value than their own.
    2. Some individuals live in a chronic somnambulistic state since childhood, they are awake but very suggestable because they spend the majority of their day in their imaginations. These people must be de-hypnotized first.
    3. Eyes roll up and back in their head. Lethargic in complete muscle relaxation.
    4. State of high suggestibility, highly creative and imaginative. Architects, musicians, artists, designers and writers are often in this state. Used effectively for localized pain control.
    5. Theta waves predominate – 4-8 Hz
  6. Esdaile State or Hypnotic Coma
    1. State of complete sensory desensitization and used today as a mode of complete pain control for birthing, dentistry and in pain clinics.
    2. Deep state of trance and internal focus, produces temporary amnesia and analgesia, resistant to following commands and suggestions, can hear and understand what is going on around them, but chooses not to respond due to state of euphoria experienced, often state they want to be left alone to enjoy this state
    3. Robot like, oblivious to pain, balance tone of extensors and flexors
    4. Can be used to desensitize from troublesome perceptions. Natural anesthesia and amnesia for pain control
    5. Delta waves predominate – 0.5-6 Hz
  7. Sleep
    1. The state just before deep sleep. Conscious mind become dormant; Subconscious mind dreams away emotional content of the day
    2. Eyes closed, deep muscle relaxation, deep rhythmic breathing
    3. Health and wellbeing enhanced and restored with 7-9 hours of sleep. Stress reduction occurs, improved heart function. Improved alertness and memory with regular adequate sleep.
    4. Delta waves 0.5-4 Hz

As you can see from the states of hypnosis above, each of these states has beneficial uses for therapy.  Dr. Nally or his hypnotherapist will help you reach and remain in the necessary state to address various components of thinking errors directly related to disease found within the subconscious mind.  Everything in hypnotherapy is designed to move the “seat of power” back to consciousness and to remove the “double mindedness” disconnect that can occur between the conscious and subconscious mind.

You can learn more about fixing your mind chatter and mind-body medicine here.

Sources:

  1. Boyne, G. (2017) Self-Hypnosis: Key to your inner power. Westwood Publishing.
  2. Boyne, G. (1989). Transforming Therapy. Westwood Publishing.
  3. Elman, D. (1964). Hypnotherapy. (2nd) Westwood Publishing.
  4. Levine, PA. (2010). In an unspoken Voice: How the body releases trauma and restores goodness. North Atlantic Books.
  5. Parker, DW; Bickmore, CA; Crews, D. (2013). Spiritual Mind Management. CHTS.
  6. Sarno, JE. (2006). The Divided Mind: The Epidemic of Mindbody Disorders. (Paperback ed.) HarperCollins Publishing.

 

You Are the Shark

A few years ago, my son and I were scuba diving the “Fish Bowl” just off the coast of the beautiful island of St Thomas in the Virgin Islands.   This dive was 60-80 feet below the surface and was some of the most beautiful coral reef and aquatic life I have ever seen.  The water was crystal clear with unlimited visibility and there were hundreds of schools of fish in this area.

As we dove into this amazingly beautiful depressed bowl-shaped area of coral that was about the size of a football field, more and more aquatic wildlife came into view.

We saw thousands of fish – the most colorful fish I’ve ever seen, hundreds of different species.  We saw sting rays, barracuda, lobster, and some of the most beautiful coral I have ever witnessed.   It was exhilarating, breathtaking and peaceful all at the same time.

However, as we swam over and around the ocean floor and through the coral caverns that lined it’s walls, I noticed something very unique.  All of these species of aquatic life would swim, then rest.  Many of them would rest for a period on the ocean floor or in a cove or cavern of the beautiful walls of coral reef.

Then, every few minutes, I’d catch the view of a group of reef sharks as they swam by.   As they swam, they would watch us, and swim over or under our diving group.  Yet, the sharks never stopped.  They never rested or waited quietly on the ocean floor like the other aquatic predators we saw that day.

Majestic and fearsome creatures with the beautiful waving motion of their tails, sliding smoothly through the saltwater along the edges of the reef. These reef sharks and the other nurse and hammer head sharks we saw never stopped.

I learned a fascinating lesson that day.  If a shark stops swimming, it dies.

The ocean may be its home . . .

And, the shark may be one of the most fearsome creatures under the deep blue . . .

But, without forward movement, the shark will drown.  Sharks rely upon obligate ram ventilation of water passing through their mouths filtering oxygen as it is rammed against the gills.

If they stop swimming, they stop receiving oxygen.  If they stop moving, they die.

It was a powerful life lesson.

You and I are much like the shark, we survive on a diet of protein, fat and movement.

You are a fearsome collection of appetites, powers, and instincts made for constant forward movement.

If you do not grow . . .

If you do not evolve, risk, or expand . . . Slowly but surely, you will die a spiritual or emotional death.

You may wish and pray it were otherwise.  You can try to will yourself content with stagnation and starch . . .

You can try to force yourself to be satisfied. Believe me, I’ve tried.

Yet, as you know by now . . . it doesn’t take. It doesn’t work. Your hunger increases, and you start gasping for air.

You are the shark.

To whatever extent you have failed to move forward, that lack of momentum is drowning you in a deep blue sea of “what if’s,” “could have’s,” and “if only’s.”

You and I are not overwhelmed.

You are not suffering from too much.  You and I suffer from TOO LITTLE.

Underwhelm frequently masquerades as overwhelm, and it stifles the life-giving apparatus.

You’re not over stretched. You’re not tapped out.  You are profoundly under-utilized . . . bored, rotting & stymied.

The narrow walls of your life begin crushing your heart when you’re not moving. You know it’s true.

Even when everything within you wants to retreat . . .

Fin your tail, flair your vents and MOVE FORWARD.

Do not be afraid to play the bigger game, take the wild risk, make the bold move.

I gained four life lessons from this experience. These make more sense when viewed with this perspective:

  1. Happiness is not the absence of problems; it is the ability to deal with them, swim at them head on.
  2. Feeling sad after making a decision doesn’t mean you made the wrong decision. You decide and you keep moving.
  3. You’re not stressed out because you are doing too much.  You are stressed because you are doing too little of the things that make you feel most alive, the thing that keeps the oxygen moving across your gills.
  4. The lesson you struggle with will repeat itself until you face it and learn from it.

Be the shark you were meant to be, and, at last, watch your life begin.

 

 

 

 

Adam Nally, DO

@DocMuscles